Scholarship Entry Form – Fernandina Pirates Club

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How Pirates of the past impacted life in Nassau County

How has the Shrimp Industry of the past impacted life in Nassau County.

Submission

Student’s Last Name: *

Student’s First Name *

Student’s Phone Number *

Student’s Email: *

Name of High School:

Graduation Date: mm/dd/yyyy *

Nassau county resident *

Yes

No

Attending College *

Yes

No

Attending Trade School

Yes

No

Joining Armed Forces *

Yes

No

Submission details:

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