Full Name
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Email
Name of Parent(s) or Guardian(s)
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High School
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University or College You Plan to Attend
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Address of University or College You Plan to Attend
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Have You Been Accepted?
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Yes
No
When will you know if you've been accepted?
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High School Honors/Awards
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Community Activities in Which You Have Been Involved
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Brief Summary of Your Career Plans *
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What high school activities/sports have you been involved in and for how long?
Activities
What activities were you involved in during high school?
Band
Baseball
Basketball
Cheerleading
Choir
Cross Country
Debate
Drill Team
FBLA
FHA
FFA
Football
Foreign Language
Golf
Newspaper
NHS
Soccer
Speech
Student Government
Tennis
Theatre
Track
Volleyball
Wrestling
Yearbook
Other
How many years were you involved in band?
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How many years were you involved in baseball?
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How many years were you involved in basketball?
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How many years were you involved in cheerleading?
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How many years were you involved in choir?
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How many years were you involved in cross country?
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How many years were you involved in debate?
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How many years were you involved in drill team?
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How many years were you involved in FBLA?
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How many years were you involved in FFA?
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How many years were you involved in FHA?
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How many years were you involved in football?
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How many years were you involved in foreign language?
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How many years were you involved in golf?
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How many years were you involved in newspaper?
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How many years were you involved in NHS?
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How many years were you involved in soccer?
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How many years were you involved in softball?
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How many years were you involved in speech?
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How many years were you involved in student government?
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How many years were you involved in tennis?
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How many years were you involved in theatre?
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How many years were you involved in track?
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How many years were you involved in volleyball?
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How many years were you involved in wrestling?
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How many years were you involved in yearbook?
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Other Activity
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How many years were you involved in your other activity?
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Other Activity
How many years were you involved in other activity?
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Please include a current photo of yourself which may be used for promotional purposes if you are selected as an award recipient
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Upload your transcript
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Upload your 300 word essay
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Upload your Educator's Recommendation Form (Found at www.usacomm.coop/scholarships)
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Upload your letter of recommendation from a local community leader, elected official, or local business representative.
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Applicant Certification
By checking this box, I hereby certify that the information on this application is complete and correct to the best of my knowledge. I hereby grant USA Communications to contact my references or school, if necessary.
Reminder: once you submit this online application, downolad a copy of the Educator's Recommendation Form.
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Please check here for certification
Signature
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Date
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Day
Year
Please verify that you are human
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