VIETNAMESE STUDENT ASSOCIATION SFL

APPLICATION FORM
2010 – 2011

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[DATE]

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[NAME]

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[ADDRESS] [STREET] [APT]

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[CITY] [STATE] [ZIP
CODE]

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[BIRTHDAY]

________________________________________________ [ ] Home [ ] Cell [ ] Work

[CONTACT]

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[SCHOOL EMAIL] [SECONDARY EMAIL]

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[STUDENT NUMBER]

[ ] FRESHMAN [ ] UNDERGRADUATE
[ ] SOPHOMORE [ ] GRADUATE
[ ] JUNIOR [ ] ALUMNI
[ ] SENIOR [ ] OTHER

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[MAJOR] [MINOR]

KEEP YOURSELF UPDATED WITH ANNOUCEMENTS AND EVENTS

EMAIL: vsasfl@gmail.com
FACEBOOK: Vietnamese Student Association SFL
vsasfl.blogspot.com
ARE YOU CURRENTLY ENROLLED IN ANY OTHER CLUB(S), SPORT(S), OR ORGANIZATION(S)?
IF YES, WHICH?

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PLEASE CHECK THE FOLLOWING THAT APPLIES TO YOU:

[ ] COMMUTE [ ] DANCE
[ ] VOLUNTEER [ ] ARTS AND CRAFT
[ ] MUSIC [ ] GRAPHIC/WEB DESIGN

KEEP YOURSELF UPDATED WITH ANNOUCEMENTS AND EVENTS

EMAIL: vsasfl@gmail.com
FACEBOOK: Vietnamese Student Association SFL
vsasfl.blogspot.com