| Name (Last,First, Middle) |
| Address (street) |
Telephone |
| Address (city/state/zip) |
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| Date of Birth |
E-Mail Address |
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| High School |
Grade Point Average |
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| Extra-curricular Activities and Honors |
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| College |
Grade Point Average |
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| Extra-curricular Activities and Honors |
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| Expected Degree |
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Community Activities (Please briefly describe your involvement in community groups, organizations, volunteer activities, etc)
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Future Aspirations (Please briefly describe your future plans and goals in life. Attach a second page if necessary).
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Recommendations(Please provide (2) written recommendations from teachers,professors,community leaders,etc).
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| Personal Essay (Please discuss, in 700 words, the topic of Reparations, its relevance to Black people and the significance of the World Conference Against Racism and Xenophobia). |