BASE Arizona - Humanitarian Scholarship Interest Form
BASE Arizona will award two High School Seniors in The Greater Phoenix area with Humanitarian Scholarships for the use of higher education, job training, and entrepreneurship start up.  
These Scholarships are in honor of Cloves Campbell Jr & Norine Richardson.
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Student First Name *
Student Last Name *
Gender *
Parent / Guardian First Name *
Parent / Guardian Last Name *
Student Email Address *
Parent Email Address *
Phone Number *
Home City *
Are you a High School Senior? *
High School Name *
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