Teen Total Abstinence Scholarship
Student Application Form

Deadline for on-line submission is March 14, 2008
 

Name in Full 

Home Address 

City    State    Zip

Telephone Number (including area code)   Social Security Number

Name of High School   

City in which High School is located 

Local Church   District  

Write a story, essay, poem, etc on the theme "It's Okay to be Alcohol Free!". Please limit you answer to 1200 words.

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