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2013-2014 Scholarship Information
Please share all scholarships you are offered, even if you do not accept the scholarship or are attending a different school.  You may summit this form multiple times as scholarships are received.
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Last Name: *
First Name *
Name of college or university you will be attending *
If you are undecided, please list your choices
Who is your School Counselor? *
Choose from the list
List all scholarship name(s) and amount(s) you have been offered. *
Example:  Brenda Wolf Scholarship (Tremper High School)  $1000.00
Please provide a copy of verification to Mr. Tarkowski by May 20th   *
If you you receive a scholarship after May 20th, contact Mr. Tarkowski ASAP prior to June 13th
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