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Westerly College Club

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WCC Scholarship Application

Please fill out this form in its entirety and select Submit after signing. Fields marked with an asterisk are required.

First Name*

Last Name*

Date of Birth*

Home Address*

City*

State*

Zip*

Mobile #*

Home #

Personal Email*

College/University*

Address of College/University*

Area(s) of Concentration*

GPA: Fall 2026*

Spring 2027

Cummulative GPA*

Fall 2027 Class Level*

Expected Date of Graduation*

Other Colleges Attended

High School(s) Attended*

Parent(s) or Guardian(s) (Name, State of Legal Residence)*

Parent 2

Siblings/Other Household Members (Name, Age, School Status)

Sibling 2

Sibling 3

Sibling 4

Westerly College Club, Inc

P.O. Box 1342

Westerly, RI 02891-1342

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