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2020 HS Renaissance Award Entry Form
Mandatory Form for registration new students
* Required
Student Information
First Name:
*
Your answer
Middle Name
Your answer
Last Name:
*
Your answer
School
*
CSI High School for International Studies
Digital Arts & Cinema Technology High School
DeWitt Clinton High School
Long Island City High School
The Facing History School
Felicitas & Gonzalo Mendez High School
Ramon C.Cortines of Visual & Perfor Arts
Cass Technical High School
East English Village Preparatory Academy
Address
*
Street, Apt.,
Your answer
City, State, ZIP
*
Your answer
Email Address:
*
Your answer
Phone Numbers:
*
home, cellular
Your answer
Place of Birth:
*
City, Country
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Today's Date
*
MM
/
DD
/
YYYY
Country of Citizenship
*
Your answer
Have you ever traveled outside the US?
*
Yes
No
If you have selected 'Yes', please list the countries you have visited
*
Your answer
Submit
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This form was created inside of Palazzo Strozzi Foundation USA.
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