Emily Scholarship
Name
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Student First Name
Student Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
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example@example.com
You must be a student at Woodruff High School to be eligible for consideration for a scholarship.
Name of College or University You Plan to Attend
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Please upload only ONE piece of artwork. Submitting more than one piece will make your application ineligible. Include, title, media and date created. (File limit 100MB)
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Briefly describe the purpose or message of your artwork. (Limit 500 characters)
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0/500
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All of the information provided by me is true and complete to the best of my knowledge. I agree to give proof of the information supplied on this form if required. My signature certifies that all the information provided is complete, factually correct and honestly represented. Falsification of information on this application could jeopardize any assistance offered.
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I hereby affirm that I intend to enter an accredited school of higher education. Additionally, I hereby grant permission for the use of my name and information contained in my application in any future publicity for the Emily Camille Stokes Arts Scholarship.
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