I affirm by
my signature that I have furnished all information requested in this
application. I understand that
submitting any false information to College Success Arizona for the Native
American Scholarship Program, including but not limited to, false transcripts,
test scores or any information contained on this form or withholding
information about my previous academic history will make my scholarship
application as well as any future scholarship applications, subject to denial.
hereby authorize and give consent to Freeport-McMoRan to contact me via College
Success Arizona about my application, academics, and possible internships
and/or job opportunities within the organization, and to publish my image, stories, and other
information in print or electronically.