First Name *

Last Name *

Email *

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Mailing Address *

School Currently Attending *

Area of Interest * Accounting Computer Information Systems Economics Finance General Business General Management General Marketing Product Management or Product Marketing Other

GPA *

Short Essay (1,000 words or less) regarding why you would be a good candidate for the scholarship. *

By checking the box below you agree that if you win the scholarship your name may be used for scholarship marketing and promotion purposes. * I agree

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