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LAST
FIRST
MI. NAME: |
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| DATE: | ||||||
| STREET ADDRESS: | ||||||
| CITY: | STATE or PROVINCE: | ZIP: | ||||
| PHONE: | DATE of BIRTH: | S.S.# | ||||
| SCHOOL NAME: | PHONE: | |||||
| SCHOOL ADDRESS: | ||||||
| CITY: | STATE or PROVINCE: | ZIP: | ||||
| INDICATE CURRENT GRADE LEVEL, K through 12: | COLLEGE 1 through 5: | |||||
| HIGH SCHOOL & COLLEGE STUDENTS INDICATE YOUR CURRENT CUMULATIVE GPA: | ||||||
| Please attach a copy of
your official grade transcripts, along with a letter of recommendation
from your principal, teacher, councilor, instructor, or coach. |
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| HOW DID YOU HEAR ABOUT THE
CIFSNA SCHOLARSHIP PROGRAM? _____CELTIC EVENT _____SCHOOL _____INTERNET _____FRIEND/RELATIVE _____OTHER |
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| DESCRIBE HOW YOUR CELTIC
STUDY EXPENSES HAVE BEEN AND/OR WILL BE FINANCED.
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