Dream, Believe & Do Scholarship Application

Name *

First

Last *

Last

Mailing Address

Email *

Date of Birth

High School

Post-graduation schooling intention

Please provide your community service hours documentation

sent in a separate email

mailed to physical address (send to: Community Service Mail, 8 N Plaza Apt 374, Rochester 48307)

Essay: Tell us your Dream, Believe & Do Plan (your chance to map it all out) *

Signature & Date

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