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Are you an active member of the National Society of Black Engineers (NSBE) Wentworth Chapter?
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Are you a veteran or part of ROTC?
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If you are selected to receive this scholarship do you wish for this award to be kept anonymous on your award letter and billing statement?
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Are you a US Military Veteran?
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Are you a member of the NECA Student Chapter?
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Are you a graduate of Wilmington High School? Please indicate yes or no, and list your graduation date.
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Are you a graduate of Pelham High School, in Pelham New Hampshire? If yes, please list your graduation date.
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Are you of Polish or Serbian origin?
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Please list your home address.
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Do you currently play for the lacrosse team at Wentworth?
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