Please tell us, in the space provided, why you would be a worthy recipient of the 11th ACVVC. Scholarship.

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I the undersigned, give my permission for a copy of my official high school transcript and /or college transcript to be submitted with this scholarship application. I understand that the selection process may involve a committee composed of individuals that are in the community at large.
 
 

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( signature of applicant )     ( date of signature )
 
 

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( parent or guardian if applicable )    ( date of signature )