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Section 1 of 3
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Section 2 of 3
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Section 3 of 3
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Applicant Name (Last, First)
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Applicant Address (House/Apt. No, Street, City, State, Zip Code)
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Applicant Phone Number ((555)-123-4567)
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High School
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Years involved as a Key Club Member
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Activities, Involvement and Membership
Please list your activities, involvement and memberships. For example (Key Club, Grades 9-12, 10 hours per month) or (Church Youth Group, Grades 9-12, 8 hours per month)
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Please list the names and addresses of employers (Including family business or self-employment), the employment period, along with the the hours per month worked. For example, (Babysitter, John and Jane Doe family, 162 S York St., Elmhurst, IL 60126. January 1, 2018 to present. 12 hours per month) If you have not been employed anywhere or self employed, please simply indicate N/A in the answer box.
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Personal Statement: In your own words (minimum of 250 words, maximum of one side of one page) explain "Why is volunteerism and giving back to the community important in today's society and how is volunteerism affecting your personal growth?" Please upload your response to this question in PDF format.
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Letter of reference: Please provide one letter of reference from an educator, clergy or youth group leader, employer or community leader and attach that letter below as a PDF.
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