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First and Last Name
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Email
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Phone number
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Address
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County
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Which high school did you graduate from?
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What year did you graduate?
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What is your current occupation?
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Are you currently a student? If so, where?
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What is the highest level of degree you have completed?
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Tell us in a few sentences how receiving a scholarship for your K-12 education has influenced your life.
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What kind of advocacy opportunities are you interested in?
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