SCEITL Scholarship Interest
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First Name: *
Last Name: *
Are you a South Carolina resident? *
Mailing Address (including Street, City, State, and Zip): *
Phone Number: *
Email Address:
LinkedIn Profile Link: (if available)
Are you a member of the SCEITL Group? *
Current Occupation:
Current Employer:
Are you currently enrolled in an IT-related degree program in college? *
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