Please sign this confirmation of accuracy for your MERIT SCHOLARSHIP application.
Guardian approval required if under 18 years of age.

I confirm that my application submission provides accurate and true information/statements.

Others listed below will be sent your application submission automatically for their approval.

Applicant:  

Parent or Guardian (If applicant is under 18yrs. old):  

Parent or Guardian EMAIL:  

Parent Phone:  

Faculty in Support of Applicant:  

Faculty EMAIL:

Faculty Phone:  

College Counselor in Support of Applicant:  

Counselor EMAIL:  

Counselor Phone:  

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Your legal name

Your email address

Please Confirm full name and signature.

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Signature Certificate

Document name: Merit Scholarship Accuracy Confirmation

Unique Document ID: fb938715d94d9daaf86f51a7492f47fa66a37c09

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Timestamp	Audit
January 22, 2021 12:12 am PDT	Merit Scholarship Accuracy Confirmation Uploaded by Yvonne Kerno - whoa94062@sbcglobal.net IP 88.171.112.137

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