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The 16th Annual Cherry Creek Diversity Conference - January 31, 2009
Conference Scholarship Application

Basic Information
Please complete every field.

Name
School or Organization
Year in School
Faculty Advisor(s)
Home Address Line 1
Home Address Line 2
City
State
Zip Code
Cell Phone
Home Phone
E-mail Address

Past Conference Involvement
Have you ever attended or previously been involved in the Cherry Creek Diversity Conference? If so, please check all those that apply below.

Executive Committee Member
Facilitator
Conference Attendee
Other:

Activities
Please describe the clubs, groups, organizations or activities in which you have participated during your high school years.

Rather than listing all activities, please limit your list to those relating to diversity, human rights, or community service.

OrganizationStart & End YearsBrief Description of Your Involvement





Essay
Please either type or copy your essay into the textbox below.

To copy, highlight all of the text of your essay, push Ctrl and 'c', then put your cursor in the textbox below and push Ctrl and 'v'.

Reference
Please give the name and phone number of a person unrelated to you who can recommend you for this scholarship.

Name
Relationship to You
Office Phone

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