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Kingfisher in Lights Scholarship
Application Form |
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Personal Information
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Name
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Address
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SS#
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Date of Birth |
Telephone Number
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Email Address
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High School Information
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Name of School
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Date of Graduation
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GPA |
High School Counselor Name and Telephone
Number:
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Additional Information
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Are you employed? Where? How many hours
per week?
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College, University or
Vo-Tech You Hope to Attend:
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Mail completed form along with all other required materials in one
package no later than no later than March 15th to:
Kingfisher in Lights
PO Box 535
Kingfisher, OK 73750
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