• Full Name
    Home Address
    Email address

    Educational Objective: Write one sentence describing your goal. Example: I plan to earn a Bachelor degree in...


    ACT Composite score:

    Activities: List all activities you have been involved with from 9th grade on at PHS or in the community (scouts, church). If you were involved in the same activity all four years, list each year.
    Basketball: 9, 10, 11, 12 Key Club: 9, 10

    Leadership Positions: Basketball Captain: 11, 12 Key Club Secretary: 11

    Honor Roll: 9, 10, 11
    Outstanding Student: World History II: 10 Algebra II: 11

    Community Service: 156 hours
    5th Grade Camp Counselor – 50 hours
    Salvation Army – 15 hours

    Work Experience:
    Name of Company
    Dates of Employment Hours per week