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Juneteenth Statesville Scholarship

Eligibity

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Student Information

Student's first name

Student's last name

Date of birth

Month

Day

Year

Address

Phone

Education

High School Name

Graduation Date

Month

Day

Year

College/University/Trade School Accepted To

Intended Major/Program of Study

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Proof of Acceptance

Transcript

Letter of Recommendation 1

Letter of Recommendation 2

Letter of Recommendation 3

Resume or List of Activities

Essay

In 500–750 words, explain what the IMPACT acronym means to you and how you embody its values in your own life. The acronym IMPACT represents Iredell Movement for Progress, Culture and Transformation.

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I certify that all information is accurate and that I meet the eligibility requirements.