TECHNICAL STUDIES SCHOLARSHIP APPLICATION

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PERSONAL

Name
Home Address:

PHONE

Are You a U.S. Citizen?
(Upload copy of proof at the end of form)
Marital Status:
Parent Address (if different than home address above):
Address of Technical School or University (you plan to attend)
At which address can you be contacted in July?

RELATIONSHIP AND IDENTITY OF WEST TEXAS AGC MEMBER (if applicable)