Tom & Teddy Holstlaw High School Scholarship
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Email *
Student's Name(One student per application)  *
Grade Entering: *
Current GPA: *
Years Enrolled at ECS:
School Year:
Parents' Names: *
Address: *
Siblings enrolled at ECS and their grade *
Please explain the specific circumstances that lead to the Scholarship Fund need: *
*
*
Student's Signature: *
Parent's Signature: *
Date:
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Evangelical Christian School.