Scholarship Application
Thank you for your interest in the ACCW Book Scholarship. Please read and answer each question carefully prior to submitting your application. All winner(s) will be notified on or before the 2nd of January 2022. Best of luck!

APPLICATION DEADLINE - December 22nd, 2021
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Email *
Name *
Email *
Please list your City and State of residence. *
Date of birth *
Phone number *
Are you a single parent? *
How many children do you have? *
What College / University are you enrolled in? *
Are you a Full-time or Part-time student? *
By checking "I agree" you certify that the information listed above is true to the best of your knowledge? Enrollment in a higher education institution will be verified prior to funds being released. *
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