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Mission Statement
Founder
Application
News
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Application
First Name
Last Name
Gender
Male
Female
Place Of Birth
Email
Address
Phone
Phone
Date of Birth
Social Security Number
Name Of School
Grade
Address
Family Status
I live With
Gender
Father
Mother
Other
Parents Living
Father Name
Mother Name
Names of siblings:
Who is supporting school expenses:
Name
Relation
Education
Are you planning to go to college?
Are you planning to go to college?
Yes
No
If Yes
What would you like to major:
Have you received scholarship from CHPCF before?
Have you received scholarship from CHPCF before?
Yes
No
If yes, please indicate
Date
Extracurricular Activities:
All information above are true and correct to my best knowledge.
All information above are true and correct to my best knowledge.
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