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K-12 Scholarship Application
Mother First and Last Name
*
Father First and Last Name
*
Married or Divorced?
*
Address (where student lives)
*
Parent Email
*
Parent Phone
*
Mother Occupation
*
Father Occupation
*
Student First and Last Name
*
Student Date of Birth
*
Month
Month
Day
Year
Where does your child currently attend school and what year is he or she in?
*
What are the primary factors that led your decision to send your child to Christian school instead of accessing public education?
*
Submit
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