State Leadership Conference Scholarship

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* 1. Student Information

Name

School

Grade

Email Address

Phone Number

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* 2. Adviser's Information

Name

School

Email Address

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* 3. What grade levels have you been an affiliated FCCLA member?

6th

7th

8th

9th

10th

11th

12th

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* 4. List ways you have participate in FCCLA?

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* 5. List any offices held on the chapter or district level

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* 6. In what ways do you believe attending the State Leadership Conference will benefit you?

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* 7. Why do you financially need this scholarship?

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* 8. Advisers please include a short paragraph indicating the students leadership qualities, financial need, and impact of the award.

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