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2012 ILDI Online Scholarship Application

Posted Sat, 09/12/2009 - 2:39pm by ccgroberg

Please read Scholarship Letter before proceeding

Last Name:

First Name:

Street Address:

City, State, Zip code:

Email: *

Home Phone:

Cell Phone:

School Name:

School Location:

Grade/Year in School:

Your DI Membership's Name/Location:

Team Manager's Name(s):

# of Years Participating at Regionals:

# of Years Participating at State:

# of Years Participating at Globals:

List the Challenge with Year of participation:

Creativity Award(s)? If yes, when and why?:

Inspire Others?:

Have you done anything in your own life that would help inspire others to participate in creative problem solving with Destination ImagiNation? TELL US ABOUT IT!