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Name: Date: Address: Phone: Name of College/University Attending: I am applying for the following scholarship(s): Check all boxes which you are eligible and wish to be considered. Eligibility requirements
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The name of the college or university attending is XYZ University.
All students attending the college or university are required to file the name.
You can fill out the name of the college or university attending on the student information section of the form.
The purpose of providing the name of college or university attending is to identify where the student is currently enrolled.
The name of the college or university attending must be reported.
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