Name of Parent/ Guardian:
___________________________________________________________________
Address:
_________________________________________________________________________________
Phone::
____________________________________E-mail:________________________________________
Age:_________________ Birth Date:___________________ Height:____________
Hair Color::
_______________Eye Color:____________________
Sponsor:__________________________________________________________________________________
Education
High
School:__________________________________________________________________
Year:________
College/University:_____________________________________________________________
Year: ________
Activities and Awards Honors,
School & Community
Activities:__________________________________________________________
__________________________________________________________________________________________
Future
Goals:_______________________________________________________________________________
__________________________________________________________________________________________
Special Interests and
Hobbies:__________________________________________________________________
__________________________________________________________________________________________
Favorite
foods/desserts:________________________________________________________________________
___________________________________________________________________________________________
Three words that describe you best:
___________________________
___________________________
___________________________