Every Fifteen Minutes
2009 Scholarship Essay Contest Application Form  

Name:       ______________________________________

Address:   ______________________________________

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Phone:      ______________________________________

College(s) you will (or plan to) attend:

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________________________________________________________________

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Major or field of study (if known):

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I certify I am a senior at Scripps Ranch High School and attended both sessions of the Every Fifteen Minutes program, on March 19, 20, 2009. I wrote the attached essay and understand it will be read by others to determine winners of a scholarship essay contest.

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     (date)                                                                                 (Student signature)

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(Parent or guardian signature if student is under 18)