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Reconnect Scholarship Application
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Best Number to Reach You
*
Your answer
Why do you want to participate in Reconnect?
*
Your answer
What amount of scholarship assistance would make it possible for you to participate in Reconnect?
*
Full, I cannot afford any amount.
Partial, I can afford up to $997
Minimal, I can afford up to $1497
None, I only need an extended payment plan. payment plan
Other:
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