CIVIC Scholars Program Interest Form

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CIVIC Scholars Program Interest Form

Thank you for your interest in the CIVIC Scholars Program! For more information, including our application please fill out this short form.

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* Indicates required question

First and Last Name *

Your answer

Email Address *

Your answer

Are you an ODU or TCC student? *

ODU

TCC

Are you/will you be enrolled at TCC or ODU during the 2023-2024 Academic Year? *

Yes

No

What will be your academic standing during the 2023-2024 Academic Year? *

Freshman

Sophomore

Junior

Senior

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