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Rising Scholars Scholarship Application

Application for 9th, 10th, 11th & 12th Grades

Personal Information
First Name *
Middle
Last Name *
Month
/
Day
/
Year
Are you interested in applying:
Parent/ Guardian Information
First Name *
Last Name *
First Name
Last Name
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
Family Financial Information as determined by the Nebraska Department of Education
Is anyone in the household eligible for free or reduced lunch from the Nebraka Department of Education?
2023 Family Adjusted Gross Income (AGI)
Short Answers
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If you do not have your Letter of Recommendation, you will be able to submit it after.
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