Personal Information
Name:
Email Address:
Home Telephone:
Home Address:
City/State/Zip:
City/County of Legal Residence:
Name(s) of parent(s) or legal guardians(s):
High School(s) Attended:
Dates of Attendance:
High School Graduation Date:
Colleges Accepted to:
College You Plan to Attend:
College Attend:
Anticipated College Graduation Year:
Overall Scholastic Average:
By Year:	Freshman Sophmore Junior Senior 1st Sem. only
List any AP courses taken and exam scores:

Leadership Experience
List organizations in which you hold or have held offices or positions of responsibility including school organizations, Boy or Girl Scouts, religious organizations, athletics, community service groups, etc. List the office, position, year or rank held in each:
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Other Activities Information
List other important activities in which you have been involved in your high school years such as athletics, school clubs, religious organizations, music, theater, public speaking, exhibits. Include any honors, awards, or letters won:
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Community / Volunteer Activities
List community or volunteer activities in which you are involved including time involved / hours served:
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Work Experience
List employment experiences including internships you have held in high school or during winter or summer breaks. List employer, position held, dates of employment, and approximate number of hours worked:
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Recommendations
List two people who will be providing letters of recommendation. Only one may be a member of the faculty or staff at your school, and none may be from a family member. Letters of recommendation should include additional information about your scholastic achievements, leadership, work ethics, and other personal characteristics that would be useful in evaluating you as a potential scholarship recipient. Please give their full name, title, and address. The applicant is responsible for securing these letters of recommendation and submitting them with the completed application.
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Are you applying for or will you receive a scholarship from other sources? YES NO
Essays
1. In a brief paragraph (100 words or less), please describe why you think you are a deserving recipient of the ACG Richmond scholarship. (Answer below or on a separate attached sheet.)
2. Please discuss why you are interested in pursuing a business career. Discuss what areas of business seem particularly interesting to you and why. What has influenced you in this direction? Where do you see yourself in 5 years? 10 years? (Answer below or on a separate attached sheet.)
By checking this box I hereby state that the information submitted herewith is true and correct to the best of my knowledge.