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*Name:
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*SSN:
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*Address:
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*City:
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*State:
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*Zip Code:
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*County:
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*Phone Number:
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*Age:
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*G.P.A.:
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*SAT Score:
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Major:
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*H.S. Graduate of: (Name of Catholic High School)
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List any relative(s) who attended Mount Aloysius College. Include relationship to you and date(s) they attended:
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Specify honors, awards and dates:
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Specify any service activities and leadership roles held during high school:
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Please complete the questions below:
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*1. Career Aspirations:
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*2. How a scholarship will assist you in meeting your educational goals:
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3. Any additional information you would like the scholarship committee to know:
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