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Change Your Life Scholarship Contest Entry Form

The Change YOUR Life SCHOLARSHIP Contest Rules are easy - simply enter yourself to win a full or partial scholarship to the
program of your choice at any of the participating schools.

Know someone else you think might also deserve a full or partial tuition scholarship to any of the programs from the participating
schools? For each person/s you invite in Section D to win a scholarship we will enter you to win the Change SOMEONE'S
Life DELL Contest.

[An asterisk (*) indicates a required field]

Section A: Please select the school, location and program you wish to pursue if you win the full or partial tuition scholarship *




Check box if you would also like more info on this particular program in the form of a program info kit

Section B: Please make your selection below *  

Section C: Please tell us about yourself below
Your information

Email Address: *
First Name: *
Last name: *
Day phone: * - -  
Address: *
Address 2:  
City: *
Province/State: *  
ZIP / Postal Code: *
Country: *  
High School Grad Year: *  
I plan on furthering my
education in the following

Section D: The person/s I wish to invite to enter the scholarship contest are:

First name:  
Last name:  
Email Address:  
First name:  
Last name:  
Email Address:  
First name:  
Last name:  
Email Address:  

Section E: To be entered in the scholarship please answer this question below

How do you feel your chosen school's program will help you reach your goals? *
250 word minimum:   word(s)
Must include:
Summary of your goals.
Your plan to achieve your goals.
How you see your chosen school's program helping you to reach your goals.






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