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SALT Center Scholarship Award Applicationfor academic year 2020–2021 The DEADLINE to submit this application is MARCH 1, 2020Student Contact Information-1055081480040First Name:Click or tap here to enter text. Last Name: Click or tap here to enter text.UA Student ID #: Click or tap here to enter text.Student Cell Phone #: Click or tap here to enter text.Permanent Mailing Address: Click or tap here to enter text.City: Click or tap here to enter text. State: Click or tap here to enter text. Zip: Click or tap here to enter text.UA Email Address: @email.arizona.eduParent Name: Click or tap here to enter text.Parent Email Address: Click or tap here to enter text.General Information-104775704850Did you / will you be submitting a FAFSA application to the UA Financial Aid Office? ?Yes ?No(A FAFSA application, submitted to UA Financial Aid Office, is required to be considered for a SALT Center Scholarship Award) Are you a Freshman coming to college for the first time? ?Yes If you are a Transfer student, what is your status? ?Freshman ?Sophomore ?Junior ?SeniorIf you are currently enrolled at UA, what is your status? ?Freshman ?Sophomore ?Junior ?SeniorIf you are currently enrolled in the SALT Center, who is your Learning Specialist? Click or tap here to enter text.Are you a first generation college student? ?Yes ?No Does Vocational Rehabilitation cover some/all of your college costs? ?Yes ?No Did you receive a SALT Center Scholarship Award during the 2018-2019 academic year? ?Yes ?No ?N/ADid you write a Scholarship Donor Thank You note for 2018-2019? ?Yes ?No ?N/AAre you an Arizona Assurance recipient? ?Yes ?No ?N/AAdditional Information (Optional)-10093448972If necessary, please describe relevant financial information or circumstances that are not reflected in your FAFSA report on the 2nd page of this application.00If necessary, please describe relevant financial information or circumstances that are not reflected in your FAFSA report on the 2nd page of this application.Signature: Date: Use your UA EMAIL ACCOUNT to email this completed application to dlinden@email.arizona.edu*DO NOT use GOOGLE DOCS or any other PASSWORD-PROTECTED format when returning this application ................
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