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HACKENSACK ROTARY. SCHOLARSHIP APPLICATION. CLASS OF 2013. GENERAL INFORMATION _____Name of Applicant (Last, First, M.I.) Date of Birth _____ Hackensack NJ 07601_____ Street Address City State Zip Code Phone Number _____ High School Name /Phone Number of Guidance Counselor. DIRECTIONS (Read Carefully) Note: Only Hackensack Residents are eligible for a Hackensack … ................
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