High School Application

Applicant Information
Full Name*
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Date of Birth*
Address*
Street Address City State ZIP Code
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Email*
Current GPA*
ACT Score*
Class Rank*
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High School you attend*
College you plan to attend*
Undergraduate Major*
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Organizations/Activities/Positions Held (School, Civic, Religious, etc.)
List Organizations/Activities/Positions Held (School, Civic, Religious, etc.)*
Academic Awards
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Other Awards/Recognition
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Essay Information
NETABSE is focused on providing quality educators and educational opportunities to minority students in our area. This scholarship has been developed to help provide an opportunity for a minority student to attend an institution of higher education.

Please write an essay of no more than 750 typed words, while addressing these 3 components:
- How will these funds be beneficial to you?
- What is your career plan for the future?
- Who has been influential in your life and how?
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Accepted file types: pdf, doc, docx, txt, Max. file size: 32 MB.
Acknowledgements
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I confirm that the information given in this form is true, complete and accurate.
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Applicant Information