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Full Name
Home Address
Email address

Educational Objective: Write one sentence describing your goal. Example: I plan to earn a Bachelor degree in...


ACT Composite score:

Activities: List all activities you have been involved with from 9th grade on at PHS or in the community (scouts, church). If you were involved in the same activity all four years, list each year.
Basketball: 9, 10, 11, 12 Key Club: 9, 10

Leadership Positions: Basketball Captain: 11, 12 Key Club Secretary: 11

Honor Roll: 9, 10, 11
Outstanding Student: World History II: 10 Algebra II: 11

Community Service: 156 hours
5th Grade Camp Counselor – 50 hours
Salvation Army – 15 hours

Work Experience:
Name of Company
Dates of Employment Hours per week