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Lt. General Wade
Hampton
Scholarship Application
Student's
name__________________________________________________________________
Parent
or
Guardian_______________________________________________________________
Street___________________________
City______________________ SC, Zip code__________
Name
and address of High
School___________________________________________________
Post-secondary institution student plans to
attend_______________________________________
Planned
course of study or
major____________________________________________________
Extra-curricular school activity
grades
9 - 12: Use extra sheet if necessary.
School awards and special recognition: Use extra sheet if necessary.
Community or church activity and any
community
awards: Use extra sheet if necessary.
Student's
signature________________________________________________________________
Parent's
(or guardian's)
signature_____________________________________________________
To be completed by Senior Counselor or Principal
Rank in class____________ out of_______________
SAT scores: _________________________________
Has this student passed the Exit Exam if applicable? ___________
Course of study: _____college prep _____tech
prep _____ vocational_____ other (specify)_____
Comments:
Counselor's or Principal's
signature__________________________________________________
Please forward student's application, essay and letters of
recommendation
to the following address.
Due by April 30.
SCV Scholarship Committee
P. O. Box 1477
Pickens, SC 29671
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