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Montana Minds Scholarship Application
Last Name: First Name: MI:
Street:
City: State: Zip:
Phone: E-Mail:
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Parents or Guardian's Name:
Street:
City: State: Zip:
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Are you a citizen of the United States? If you are not a US citizen, what is your status?
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Name of High School: Graduation Date:
Street:
City: State: Zip:
What is the name of your science teacher(s)?
Are you associated with either TRiO or GearUp?
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If you have taken either the ACT or SAT, please enter your scores.
My HS class size is: ACT Score: Composite Math: English:
My HS class rank is: SAT Score: Composite Math: Verbal:
My HS GPA is:
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Degree Sought (check appropriate box):

If you have any questions please contact:
Annette Kankelborg
Montana Tech
1300 West Park Street
Butte, MT 59701
406-496-4694
Akankelborg@mtech.edu

 

 

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