2019 Pinot's Palette Scholarship Application
Section 1: Biographical Information
Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Telephone *
Your answer
By checking this box, I certify that I am a high school Senior expecting to graduate this academic year (Aug-Jun) *
Required
Citizenship *
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