Private High School Application

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Step 1 of 2

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STUDENT INFORMATION

All sections of the application MUST be completed. Omissions in any section will result in disqualification of the application.
Student Name*
Student Gender*
Student Address*
Student Date of Birth*
Please provide the best phone number to reach the student with important scholarship application information.
Student Email*
Student Ethnicity*

Parent Information:

Name of Parent or Legal Guardian*
Relationship to Student*
Parent/Guardian Email*

Educational and Career Goal Information:

Please provide the complete school name (no acronyms) i.e. Warren Central High School not WCHS
Graduation Year*
Must be a current 8th grader to qualify for this program.

Private High School Selection

Please select the school(s) you would like your application to be sent for scholarship consideration.
IMPORTANT: This scholarship application does not qualify as your admissions application to any of the below selected schools – YOU MUST APPLY DIRECTLY TO EACH SCHOOL BY THEIR RESPECTIVE APPLICATION DEADLINE in addition to completing this application.
Private High School Selection*
Choose up to three
Do you plan on participating in high school athletics?*