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Get NC NCDVA-17 2015-2024

LICANT'S ADDRESS VETERAN'S ADDRESS APPLICANT'S TEL. NO. (Area Code) EMAIL ADDRESS COUNTY I hereby make application for a State Scholarship as provided by Chapter 165, Article 4, of the General Statute, of North Carolina: Applicant's Information Section Attach Resume in the format provided on the Instruction Sheet (NCDVA-16) Date of Birth Place of Birth Race mm/dd/year (City/County) Sex (State) Applicant Mother's place of birth (City) Has Applicant lived whole life in North Carolina? Y.

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