Accept BRTC Scholarship
If you have received a letter of notification that you are eligible for an Academic Distinction (ACT Composite 24+ or Top 10% of graduating class), Academic Incentive (ACT Composite 19-23), Hard Tech Scholarship, or Pay Back to Go Forward Scholarship, please use this form to accept the scholarship.
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Email *
First Name *
Middle Initial *
Last Name *
ACT Composite Score
Phone *
Newspaper *
Which newspaper do you prefer this information to be submitted to?
Your Hometown *
Parent 1 & Hometown
Please list parent 1 names and parent's hometown.
Parent 2 & Hometown
If you have another parent(s), please list names and parent's hometown.
Major/Career Plans *
High School Attended *
Graduation Year *
Concurrent *
Are you a concurrent student (taking college courses while in High School)
Other Info
List any other information about youself that you would like to have included (awards/honors, extracurricular activities, clubs/organizations, etc.)
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