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Get Howard & Pearl Burgess 4-H Scholarship Application Form 2000-2024

Er of Years in 4-H: Name of High School: City: # in Senior Class: Place of residence (check one): □ Farm □ Town of less than 2,500 □ City of 10,000 - 50,000 Rank in Class: □ Rural area outside of town □ Town or city of 2,500 - 10,000 Father’s Name: First Last Middle Initial City/State Zip Address: Street Father’s occupation and approximate annual income: Mother’s Name: First Last Middle Initial City/State Zip Address: Street Mother’s occupation and approximate.

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