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PracticeApplication:Page5

ACTIVITIESANDINTERESTS
AcademicHonors
Brieflylistordescribeanyscholasticachievementsorhonorsyouhavewonsincetheninthgrade
(e.g.,NationalMerit,Dean'sList):

WorkExperience

Screen5

Listanyjobs(includingsummeremployment)youhaveheldduringthepastthreeyears.
Specificnatureofwork: work
Employer: mr.boss
Datesworked: 11/2001

to: 11/2001

mm/yyyy

to:

mm/yyyy

to:

mm/yyyy

to:

mm/yyyy

to:

mm/yyyy

Approximatenumberofhoursspentperweek: 1
Samantha,
ifyouhaveany
technicalquestions,
clickhere.

Specificnatureofwork:
Employer:
Datesworked:
Approximatenumberofhoursspentperweek:

Specificnatureofwork:
Employer:
Datesworked:
Approximatenumberofhoursspentperweek:

Specificnatureofwork:
Employer:
Datesworked:
Approximatenumberofhoursspentperweek:

Specificnatureofwork:
Employer:
Datesworked:
Approximatenumberofhoursspentperweek:
Extracurricular,Personal,andVolunteerActivities
Pleaselistyourprincipalextracurricular,community,andfamilyactivitiesandhobbiesinthe
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PracticeApplication:Page5

orderoftheirinteresttoyou.Includespecificeventsand/ormajoraccomplishmentssuchas
musicalinstrumentplayed,varsitylettersearned,etc.Checkintherightcolumnthoseactivities
youhopetopursueincollege.Toallowustofocusonthehighlightsofyouractivities,please
completethissectionevenifyouplantoattacharsum.
Gradelevelor
postsecondary(PS)
Activity

10

11

12

PS

Approximate
timespent
Hrs/Wk

Wks/Yr

Positionsheld,honorswon,
orlettersearned

Col?*

*Doyouplantoparticipateincollege?

ShortAnswer
In150wordsorfewer,pleasedescribewhichofyouractivities(extracurricularandpersonalactivities
orworkexperience)hasbeenmostmeaningfultoyouandwhy.

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