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*First name: *Last name: *Current School: *Current Grade: *Are you available for Wednesday morning meetings from 7:15 to 8:30? Yes No *1. Please list any activities that you have participated in during junior high and briefly describe the roles you have played in them: (Clubs, sports, teams, school-based organizations, volunteer activities, other organizations outside of school, work experience and other related activities; List any exchange programs conferences or seminars you have attended; Travel experience.) Please note that previous experience is not a requirement of the program. *2. What do you hope to achieve as a participant in this program? *3. What do you feel are your strengths? *4. Identify an individual who you feel is an important leader and explain how this person is a leader. 5. Other comments?