• Section I – Student Information

  • Section II – Information

  • Section III – Extra-curricular activities and awards & honors

  • Please list any activities such as sports, school club, community service or volunteer experience over the past 3 years.
  • Please list any honors or awards you have received in the past 3 years (for example: Guild, Certificate of Merit, festivals, etc).
  • Section IV – Personal Statement

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  • A parent or guardian’s signature is required My signature serves as permission for the Coastal Community Foundation to publish my child’s name and photos in the event he/she receives a scholarship. Furthermore, I agree to release and hold harmless the Foundation

    Parent Contact Information/Signature

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