Scholarship Application Form
South Carolina Tax Council
Post Office Box 887
Lancaster, South Carolina 29721
(Voice) 803-283-9988 (Fax) 803-286-8928

PLEASE COMPLETE, PRINT AND FAX TO 803-286-8928

Name: Phone:
School: Phone:
Address: Fax:
City:
State: Zip:

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Referred by the following SCTC member (not required):

School grade:
Age  Sex

Educatio

Dates of High School School Name Graduated

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Signature _______________________________

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