A - LCP Scholarship Application
                                                             
                                                                           
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Name  : *
Date of Birth : *
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Mailing Address : *
Home Phone :
Mobile Phone :
Parent/Guardian Name : *
Phone Number : *
Your E-mail Address : *
High School : *
High School Grade Level ; *
Your current GPA : *
Guidance Counselor's Name :
Distinctions, Honors, Awards (academic/civic/government) :
How did you hear about this scholarship?
Have you applied for other scholarships?
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If yes, please list all scholarships.
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