Your Name: ______________________________________________________ Nickname: _______________________________________________________ Code Name (for posting grades): _________________________________ Date of Birth: __________________________________________________ Name of Parents or Guardians: ___________________________________ Home Address: ___________________________________________________ Home Telephone Number: __________________________________________ Your e-mail address: ____________________________________________ List hobbies and interests: _____________________________________ _________________________________________________________ School Activities in which you participate: _____________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ List Honors that you have received: _____________________________ _________________________________________________________ _________________________________________________________ List Community or Church Activities: ____________________________ _________________________________________________________ _________________________________________________________ List Colleges to which you are planning to apply: _______________ _________________________________________________________ _________________________________________________________ (over) Schedule: Advisor: _____________________________________ 1st period: _____________________________________ 2nd period: _____________________________________ 3rd period: _____________________________________ 4th period: _____________________________________ 5th period: _____________________________________ 6th period: _____________________________________ 7th period: _____________________________________ Please write down something which you would like me to know about you (or something that makes you unique!): _________________________________________________________ _________________________________________________________ _________________________________________________________ What is your dream? _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
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