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Student Information
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Gender: Male Female

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Applying for Grade: 9 10 11 12
in the fall of .

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Additional Information
(Please check all that apply)

	Please send me information about need-based financial aid.
Please send me information about an honors scholarship:
	Alton P. Sparkman Honor Scholarship--Lynchburg area (day students)
	Capital Area Honor Scholarship--North Carolina Residents (boarding students)
	Forsyth Honor Scholarship--Virginia Residents (boarding students)
	Please contact me when you are in my area.
	I would like for you to visit me/my school.