Online Cover Sheet

First Student Name *
2012/2013 Grade Level *
Second Student Name
Second Student 2012/2013 Grade Level
Third Student Name Third Student 2012/2013 Grade Level
Third Student 2012/2013 Grade Level
Parent Names *
Address *
AddressAddress Line 2CityState / Province / RegionPostal / Zip CodeCountry
Email *
Phone Number *
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Parent is AlumnusCurrent SCS FamilyNew Student(s) ListedHPBC Member
Amount of Scholarship Requested