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Mesa Hotline School
W.C.C.C. Post-Secondary Scholarship Application

Mesa Hotline School W.C.C.C Post-Secondary Scholarship Program gives out 5 scholarships each year.
Please fill out the below application for consideration for 2011.

* Required fields
Name *
E-mail Address *
Street Address *
City *
State *
Zip Code *
Home Telephone *
Cell Telephone
Name & Address of accredited school you are attending: *
Enrolled Program: *
Current GPA *
Do you have current GPA college Transcripts? *	Yes No
Do You have Current Attendance Record? *	Yes No

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After submitting the online application please mail or fax a copy of your Current College Transcripts, Attendance Records, and Signature form to:

Mesa Hotline School Scholarship Committee
Rodney Dunker
P.O. Box Y
Akron, CO 80720

Fax: 970-345-2154
Email: rodneyd@ywelectric.coop

Registration is being handled by Event Masters, 970-216-8657, George Rossman