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Congratulations! We Are So Excited To Honor You.
Please Fill Out This Award Acceptance Form No Later than
Sunday February, 24th, 2019 at 11:59 PM.
*
Indicates required field
Name
*
First
Last
Age
*
are you currently able to attend the awards ceremony on March 9th at 6:00 PM?
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Yes
No
I'm Not Sure But Can Confirm Soon
Name of Current School/Academic Institution
*
NAME OF SCHOOL GUIDANCE COUNSELOR OR (IF IN COLLEGE) ACADEMIC ADVISOR
*
I'm currently a
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High School Freshmen
High School Sophomore
High School Junior
High School Senior
College Freshmen
Do you currently hold any leadership positions? Tell us about them!
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Do you currently have internship or part time job? (If yes, please tell us where, if no place write N/A)
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Tell us about some of your career goals (feel free to share your plan to achieve them if you have one)
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The Dinner Table's Theme for This Year is "Overcoming My Obstacles" would you mind sharing with us a tough situation/or obstacle you've had to overcome?
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To-date what's your proudest achievement?
*
Lastly, Are you currently looking for a mentor?
*
Yes
No
I already have one, but I wouldn't mind having another
Email
*
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Home
About Us
Events and Programs
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