College Moxie Chapter Scholarship Application

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Email *

What is your first and last name? *

For which chapter are you applying for a scholarship? *

How long have you been a member of your College Moxie Chapter? *

Have you held any leadership roles within your College Moxie Campus Chapter? *

Why do you want to be a part of your campus' College Moxie chapter? *

Why are you applying for a scholarship? *

How do you believe College Moxie is making an impact on your campus? *

How do you intend to contribute to your chapter this year? *

I understand *

that if I am selected for a chapter scholarship that it gives me full membership privileges for the current academic year.

that if I am selected as a scholarship recipient that I am expected to be an active member of my chapter

that by submitting this application I am attesting that all information provided is true and correct about my desire to be involved and my current circumstances that caused me to apply for this scholarship.

Required

Thanks so much! We will be in touch soon!

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