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SCEITL Scholarship Interest
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* Indicates required question
First Name:
*
Your answer
Last Name:
*
Your answer
Are you a South Carolina resident?
*
Yes
No
Mailing Address (including Street, City, State, and Zip):
*
Note: Your full address must be submitted for appropriate evaluation.
Your answer
Phone Number:
*
Your answer
Email Address:
Your answer
LinkedIn Profile Link: (if available)
Your answer
Are you a member of the SCEITL Group?
*
Note: To learn more about SCEITL membership, visit
www.rhfsc.org/our-programs
and click the
Join Now
button in the SC Emerging IT Leaders Meetup section.
Yes
No
Current Occupation:
Your answer
Current Employer:
Your answer
Are you currently enrolled in an IT-related degree program in college?
*
Yes
No
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