College Contact Info

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McKee Scholars Contact Information

Please complete the following information so we can ensure payment of the scholarship to your school.

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First Name

Middle

Last Name

Address

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City

State

Zip Code

Name of college or university

Name of office where scholarship payments are to be mailed

Address of office where scholarship payments are to be mailed

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City

State

Zip Code

Approximate starting date of college school year

Your college ID number

Your preferred email address

Email

Confirm Email

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Date

Signature

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