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WriteOut Camp 2017 Scholarship Application
Due March 31, 2017
Full Name
Your answer
Permanent Mailing Address
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Email address
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Date of Birth
MM
/
DD
/
YYYY
Gender
Name of applicant's high school
Your answer
City and state where high school is located
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Please list the name, phone number, and email address of three references--people who can tell us how awesome you are. Two of them need to be teachers you have now or have had in the past. REFERENCE 1
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REFERENCE 2
Your answer
REFERENCE 3
Your answer
Current GPA (grade point average)
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How many parents/guardians do you currently live with?
What is the highest level of education parent/guardian 1 has achieved?
What is the highest level of education parent/guardian 2 has achieved?
Which kind of writing would you prefer to work on during our workshop? Pick your top two and we'll do our best to line you up with one of your options.
*For the next three questions, we'd like you to write complete sentences and paragraphs. Please draft your answers in a separate program (like Microsoft Word or Google Drive) and cut and paste them here. Question #1: Do you have any life difficulties you would like to tell us about (disability, financial hardship, personal challenges)?
Your answer
#2: What's your favorite class in school right now, and why?
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#3: Think of a time when you made a mistake. Describe the experience in as much detail as you can. Then explain what you learned from the experience. Imagine you are writing to a close friend.
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