Dakota Central Scholarship Application


Reminder: to be eligible your parent(s) or guardian(s) must receive telephone, television or Internet service from Dakota Central.

INSTRUCTIONS:
Please fill out this form and click the preview button below.

Name of Applicant:
Address:
City:
State:
Zip Code:
Name of Parent(s) or Guardian(s):
Telephone Number:       E-mail:
High School:       School Phone Number:
University or College you plan to attend:
Intended Major (if known):       Current GPA:

Identify the activities in which you have been involved by circling the number of years you have participated in each.

Band: Cross Country: Football: Theater: Other:
Baseball: Debate: Foreign Language: Track: Other:
Basketball: Dance Team: Golf: Volleyball: Other:
Cheerleader: FBLA: Newspaper: Wrestling: Other:
Choir: FFA: Speech: Yearbook: Other:


High School Honors and Awards:


Have you had an opportunity to be employed or participate in any volunteer work and/or community activities
during your high school years? Please list and describe.


Summary of your college plans:


Summary of your career plans:



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