Please answer the question below with a YES or NO

Are you or an immediate family member a customer or affiliate of English Septic that has donated to the English Customer College Fund through either a direct or a redirectedcustomer discount?

Is your GPA at least or greater then 3.0? (Please include the attached proof when mailing)

Have you or will you graduate from a High school in New Jersey?

If yes, which High School:

What will your major and/or minor be while attending college?

Have you been accepted to a college for the field in which you are applying for?

If yes, which college and field:

Which semester do you intend to start classes?

EDUCATION:

Please state all activities, awards, and/or accomplishments you have received to date.

Please state any other goals and career plans you believe we should consider.

References

List 3 references and request letters from references. Only one may be arelative. (Attach letters when mailing)

I am content that the information above is correct and accurate. Am aware that false information may lead to my disqualification or dismissal if accepted.