Full Name: First, Middle, Last

Permanent Address:

City:

State:

Zip:

Permanent Phone:

E-mail Address:

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Complete this section if you are not living at your permanent address.

Current Address:

City:

State:

Zip:

Current Phone:

Date of Birth:

Sex:

Do you want All Ink to email you who is awarded scholarships, updates, & offers?

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Secondary, Trade, or Tech School, College, or University last attended:

Trade, Tech School, College, or University currently or planning to attend:

Grade Point Average: unweighted, for most recent finished semester

Current Post Secondary Status:

When do you plan to start:

When do you plan to graduate from college?