Interview Fact Sheet
Single Space Only. Please use commas and semi-colons to separate, so formatting is contained on one page. Please do not use bullet points/numbering on multiple lines. DO NOT COPY AND PASTE from another document into the text fields! You can save this form and share the link with a mentor/parent/friend for review before submission.
Name:
*
Hometown or Current City:
*
example: Spokane, WA
Age:
*
School:
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0/30
Grade:
*
6th, 7th, 8th, etc.
Scholastic/Career Ambition:
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0/30
Community Service Initiative (CSI) Title:
*
Title of CSI only
0/25
If you were to perform a talent, what would it be:
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0/25
Accomplishments:
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0/50
Interesting Facts:
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0/50
How do you stay active?:
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0/50
Name three items on your "bucket list" in the next five years:
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0/50
Ambassador/Parent Email:
*
example@example.com
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Submit
Should be Empty: