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Humanities Scholarship Application/Information

First Name:

(required)

Last Name:
E-mail Address:
Phone Number:
Address:
City:
State:
Zip:
High School
Graduation Year:

High School:
Major:
Semester Requesting Scholarship: Year:
Campus/Center you plan to attend:

Please list two references (not related to you).
Name Address Phone

Briefly summarize any relevant experience.
(210 character maximum in each box. If necessary, email additional information and mail separate sheet along with letters of reference)










Contact information:

Marlys Cervantes, Humanities Department Chairperson,
Instructor, English, Composition, Literature, Creative Writing
620.441.5560
Cowley College
125 S. 2nd
Arkansas City, KS 67005

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