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D, ATTN: Mr. Abraham Scott, Post Office Box 1023, Springfield, Virginia 22151 I, have read and understand the requirements of the Janice M. Scott Scholarship Fund application submission process. I authorize school personnel of my high school to release transcripts of my academic record and other information requested for consideration by the Janice M. Scott Memorial Scholarship Fund Scholarship Selection Committee. I understand that this application will be made available only to qualified ind.

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