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Five Star Women of Color, Inc.

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Holland Fund Application

General Information:

First name*

Last name*

Address

Phone

Email*

What is something unique about yourself?

High School Information:

What High School are you graduating from?*

What's your GPA?*

Number of Community Service hours?*

Please explain the community service you have completed over the last 4 years.*

Please explain things you have participated in or done that demonstrate leadership *

College Questions:

What Historical Black College/University will you be attending?*

Did you accept this college/university's offer?

What will be your major?

Are you the 1st in your family to attend college?

Yes

No

If there is any information about yourself that you would like to share with us include it here.

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Email: info@fivestarwomenofcolor.com

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