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Delta Debutante Scholarship Experience: ReDesigned & ReImagined- Interest Sheet
Are you Next??? The 1st Info Session will be May 20th. Visit us at www.dstlexky.org for more info.
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* Indicates required question
Student's Information
Student's Last Name
*
Your answer
Student's First and Middle Name
*
Your answer
Grade Level during 2023-24 School Year
*
11 Grade/Junior
12 Grade/Senior
Student's Cell Phone Number (if no cell number, say n/a)
*
Your answer
Student's Email Address
*
Your answer
High School
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Bryan Station High School
Dunbar High School
Frederick Douglass High School
Henry Clay High School
Lafayette High School
Martin Luther King Academy
Scott County High School
STEAM Academy
Tates Creek High School
Other:
Required
Guardian's Contact Information
Guardian's Last Name
*
Your answer
Guardian's First Name
*
Your answer
Guardian's Cell Phone
*
Your answer
Guardian's Email Address
*
Your answer
Secondary Guardian's Last Name (optional)
Your answer
Secondary Guardian's First Name (optional)
Your answer
Secondary Guardian's Cell Phone (optional)
Your answer
Secondary Guardian's Email Address (optional)
Your answer
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