Applicant Information

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Date of Birth: *

Phone Number: *

Email Address: *

Education Information

High School Name: *

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Name of College or Business School: *

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H.S. Graduation Date: *

H.S. GPA, H.S. Class Rank, or College GPA: *

Selected Major: *

Please list all academic and other school activity related awards: *

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Responses to essay questions are limited to 100 words each

and will be downgraded for excess words.

What are your career aspirations and why? *

0/100 words

Why are you the best candidate to receive this award? *

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What role has technology played in your life and how do you believe it will affect your future? *

0/100 words