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Clark Scholars Application
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First Name
Last Name
Email Address
Birthdate (mm/dd/yyyy)
Mailing Street
Mailing City
Mailing State
Mailing Country
Mailing Zip/Postal Code
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2024
2025
High School Graduation Year
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Yes
Do you acknowledge that this is a Clark Scholars application?
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New First Time
Student Type
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Summer
Application Term
Most Recently Attended School
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