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Name*

Last name*

Full Address*

Your email*

Career Choice or Major

College/Technical School Choice(s)

Multiple choice

2-Year

4-Year

School Activities: (examples: sports, clubs, etc..)

Community Service: (examples: church, volunteer work, etc..) Election or Democratic Party participation may be listed.

Work Experience: (if any) or hobbies/special interests

Where did you hear about this application? (Online, school counselor, friend, etc.)

Please explain which community service or school activity meant the most to you and why? Answer to this question can not be included in the 500 word essay. See essay in instructions on top of page 4 of application packet. *

How will this award help achieve your goals? Answer to this question can not be included in the 500 word essay. See essay in instructions on top of page 4 of application packet. *

Educational Background:

College or University:

College or University

I certify that the information in this application is true and accurate to the best of my knowledge, and that the essay is of my own creation. (not A-I generated)

WHICH CORE VALUES ARE THE "MOST IMPORTANT" TO YOUNG VOTERS TODAY AND WHY ?

(Please cite two sources to support your statement)

Be sure your name, phone number and email address are on you Essay and supporting documents (ex: Transcripts, Letters of recommendation, Resumes, Certifications, etc.) and upload below.

On a separate sheet of paper in 500 words or less (double spaced), Please answer the following essay question completely using correct grammar and spelling:

WHICH CORE VALUES ARE THE "MOST IMPORTANT" TO YOUNG VOTERS TODAY AND WHY ?

(Please cite two sources to support your statement)

Be sure your name, phone number and email address are on you Essay and supporting documents (ex: Transcripts, Letters of recommendation, Resumes, Certifications, etc.) and upload below.

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