application - EXTRA CURRICULAR ACTIVITIES varsity...

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-1 SCHOLARSHIP APPLICATION FORM STUDENT PROFILE NAME: Jacqueline Valentine Brown STUDENT ID#: __________________________ SEX: female M/F: F ADDRESS: 4713 Queens Chapel Terrace NE CITY/STATE: Washington DC ZIP: 20017 HOME TELEPHONE NUMBER: 202-636-3753 OTHER NUMBER: (c) 202-415-1541 EMAIL: [email protected] DATE OF BIRTH: 2/15/1992 PLACE OF BIRTH: Alexandria, VA EDUCATION PROFILE HIGH SCHOOL ATTENDED : St. John's College High School ADDRESS: 2607 Military Road NW CITY/STATE: Washington DC 20015 OVERALL GRADE POINT AVERAGE: approx. 3.5 GRADUATION DATE: June 5, 2009 HONORS, AWARDS, CERTIFICATES AND OTHER RECOGNITONS: National Honor Society, Spanish Honor Society, Acheivement with Honor and Distinction mutiple times
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Unformatted text preview: EXTRA CURRICULAR ACTIVITIES: varsity cheerleading, track sprinter, usher in church, stepper on the step team, model in fashion club VOLUNTEER SERVICES: St. Ann's Infant and Maternity Home, Rainbows (Silver Spring, MD), Catholic Charities COLLEGE YOU ATTEND/WILL ATTEND: Temple University STARTING DATE: August 2009 FIELD OF STUDY: Nursing DISCLOSURE : I hereby certify that the information provided in this application is true and correct to the best of my knowledge. I have not knowingly provided any facts of any circumstance that would jeopardize inclusion of this application. SIGNATURE: _______________________________________ DATE: 5/27/09...
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This note was uploaded on 09/21/2011 for the course MOSAIC 0852 taught by Professor Raymondhalnon during the Spring '09 term at Temple.

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application - EXTRA CURRICULAR ACTIVITIES varsity...

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