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Scholarship Application
I have carefully read and fully understand the above and the enclosed information supplied to the Juneteenth-Jefferson City Scholarship Committee. To the best of my knowledge, I attest that all of the above information is true. I am aware that any false information will automatically forfeit this application. Your email address and name confirms and verifies this information.
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* Indicates required question
Email
*
Your email
Name (Last, First, Middle)
*
Your answer
High School Graduation Date
MM
/
DD
/
YYYY
Parent/Guardian Name
Your answer
Phone Number
*
Your answer
Gender
Male
Female
Prefer not to say
Address (Street or PO Box)
*
Your answer
City, State Zip
Your answer
Parent Status
Married
Single
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Number in the Household (Include Yourself)
Choose
1
2
3
4
5
Do you Plan on Attending Lincoln University
Yes
No
Maybe
Clear selection
List Composite ACT/SAT or equivalent score
Your answer
Cumulative grade point average (Due to the COVID-19 pandemic verification of your GPA, ACT/SAT score, and submission of your official transcript is being wavered until August 31, 2020)
Your answer
What is (or will be) your major?
Your answer
List extracurricular activities you have participated in while in high school and indicate any offices held:
Your answer
List name of social or community organizations you are or have been a member of while in high school, and any office held:
*
Your answer
A copy of your responses will be emailed to the address you provided.
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