PCAHC High School Scholarship Form
Our scholarship committee will review all applicants and notify winners by June 1st. 
電子郵件 *
Date Form is Submitted *
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Age *
Date of Birth *
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Student Name (Last, First, Middle) *
Home Address *
Email Address *
Home Phone *
Cell Phone *
Name of High School you are graduating from. *
Cumulative GPA *
Intended Field of Study *
Name & Location of College you plan to attend. *
Parent/Guardians Name (Last, First, Middle) *
Parent/Guardians Address *
Parent/Guardians Email *
Parent/Guardians Home Phone *
Parent/Guardians Cell Phone *
What awards or recognitions have you received?  List achievements specifically related to your area of academic interest.  *
Please describe activities and work experiences other than those directly related to your high school or home school experience. You may list community service, church work, part-time, or full-time employment.  *
Write a short essay (250-500 words) about yourself explaining your family background, personal interests, what you plan to study, and why you want to further your education.  *
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