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Will you have completed high school or obtained your GED by summer 2019?

Yes

No

Do you plan to attend a 2- or 4-year accredited college, university, or technical school?

Yes

No

School Name

Service Activity #1 - Organization

Dates of Service #1

Activities Performed #1

Leadership Roles #1

Brief Description of Leadership Roles #1

If applicable

Number of People Led #1

Estimated Annual Hours Volunteered #1

Service Activity #2 - Organization

Dates of Service #2

Activities Performed #2

Leadership Roles #2

Brief Description of Leadership Roles #2

if applicable

Number of People Led #2

Estimated Annual Hours Volunteered #2

Service Activity #3 - Organization

Dates of Service #3

Activities Performed #3

Leadership Roles #3

Brief Description of Leadership Roles #3

if applicable

Number of People Led #3

Estimated Annual Hours Volunteered #3

Service Activity #4 - Organization

Dates of Service #4

Activities Performed #4

Leadership Roles #4

Brief Description of Leadership Roles #4

if applicable

Number of People Led #4

Estimated Annual Hours Volunteered #4

Service Activity #5 - Organization

Dates of Service #5

Activities Performed #5

Leadership Roles #5

Brief Description of Leadership Roles #5

if applicable

Number of People Led #5

Estimated Annual Hours Volunteered #5

Service Activity #6 - Organization

Dates of Service #6

Activities Performed #6

Leadership Roles #6

Brief Description of Leadership Roles #6

if applicable

Number of People Led #6

Estimated Annual Hours Volunteered #6

Additional Comments

Essay Topic

1. Why do you want to get a college education?

2. Pick a controversial problem on college campuses and suggest a solution.

3. Choose a book or books and that have affected you deeply and explain why.

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