Application for Tichenor-Greer Scholars Program

Student's Name *

Student's Address *

Student's Address 2

City, State and Zip *

Home Phone *

Cell Phone

E-mail *

Gender *

Date of Birth *

High School *

High School Address *

High School Address 2

High School City, State and Zip *

Counselor *

Counselor Phone *

Counselor E-mail *

Ethnic Background *

Indicate your major choice *

Indicate any scholarships you have recieved

Have you been accepted to Chestnut Hill College? *

Please type in your answer to the following questions (1000 words or less):

What do you plan to do with your degree after you graduate from CHC? *

Why do you think you have the capacitty to complete a challenging STEM degree? *

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