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Type in the following information and then print out this page and give to your guidance counselor to fill out the bottom portion.
Please do not type in all capital letters.
Due Date: November 15, 2007.
Name:
Address:
City:
State:
Zip Code:
Birth Date:
Social Security #:
High School Attended:
Expected NWTC Graduation Date:
Current Community Service or Volunteer Work:
Jobs Held (Please Specify Time Frame):
Name and Phone Number of Current Employer:
What is your individual average monthly income?
What is your family's average monthly income? (if different than individual income)
Note: You must attach an additional sheet to this application form stating briefly why you are taking the program you selected and what you intend to do with your education. You must also explain your financial needs.
Please submit your application by November 15, 2007 to:
NWTC Education Foundation 2740 West Mason Street PO Box 19042 Green Bay, WI 54307-9042
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