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Paragould Student Scholarship Application
Amount of scholarship $250 each major semester (fall and spring); $250 summer semester limited to one qualified applicant.  The scholarship is not limited to tuition, fees, and books.  For traditional students the amount over tuition, fees, and books may be given to the student for other educational support. For non-traditional students the total amount may be given to student for educational support.
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Coretta Malone
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BRTC Student ID
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5942 Rees Rd apt 348 
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Jonesboro
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Arkansas 72401
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8708388190
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Craighead
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08/09/1989
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Full-time 
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Semester/Date Applying for
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summer
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LPN to RN bridge
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June 1st - July 29th
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72
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Please provide the total # of Continuing Education Hours or Professional Development Hours you have received.
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GPA
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Do you have a transcript on file at BRTC?
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Yes
No
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Please list the courses in which you are enrolled.
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Purpose and Intent of the Scholarship
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Purpose of the Scholarship: BRTC Paragould educators, staff, and community members collectively donate to this scholarship to support local students struggling for financial support to help them with their education.  This Paragould BRTC Scholarship is available for all Paragould Traditional and Non-Traditional students.  
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I understand.
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Affirmation of Correct Information: I certificy that the above statements are true and complete to the best of my knowledge are made in good faith. I authorize the college to make this information available to the scholarship donors, award committees, and to the local media for publicity if awarded a scholarship.
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I affirm
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Date:
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Untitled Title
Coretta Malone
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BRTC Student ID
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5942 Rees Rd apt 348 
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Jonesboro
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Arkansas 72401
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8708388190
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Craighead
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08/09/1989
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Full-time 
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Semester/Date Applying for
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LPN to RN bridge
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June 1st - July 29th
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72
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Please provide the total # of Continuing Education Hours or Professional Development Hours you have received.
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No responses yet for this question.
GPA
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No responses yet for this question.
Do you have a transcript on file at BRTC?
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No responses yet for this question.
Please list the courses in which you are enrolled.
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No responses yet for this question.
Purpose and Intent of the Scholarship
No responses yet for this question.
Purpose of the Scholarship: BRTC Paragould educators, staff, and community members collectively donate to this scholarship to support local students struggling for financial support to help them with their education.  This Paragould BRTC Scholarship is available for all Paragould Traditional and Non-Traditional students.  
Copy chart
No responses yet for this question.
Affirmation of Correct Information: I certificy that the above statements are true and complete to the best of my knowledge are made in good faith. I authorize the college to make this information available to the scholarship donors, award committees, and to the local media for publicity if awarded a scholarship.
Copy chart
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Date:
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