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You are applying for the In memory of beloved member, Jane Nicklay

Please confirm the following:

1. Are you a female, U.S. citizen?
Yes No

2. Are you a resident of Rochester, MN?
Yes No

3. Will you be attending an accredited U.S. college or university that offers at least a baccalaureate degree in August 2018?
Yes No

4. Do you maintain at least a 3.0 GPA on a 4.0 scale?
Yes No

5. Will you be studying teaching with an emphasis in math or physics in August 2018?
Yes No

6. Will you be at least a college freshman in August 2018?
Yes No


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