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Full Name: ______________________________________________________

Preferred name: ____________________


Age: _______
Birth date: _________________________
Current Address: __________________________________ City___________
E-mail Address: ___________________________________
Contact number/s: __________________________________

Institute: __________________________________________
Course: ___________________________________________
Student number: ____________________________________
Vacant days: _______________________________________
Vacant hours: ______________________________________

1. Cheerleading- A brief description of your experience as a


Cheerleader/booster (If applicable).

a. High School: __________________________________________________


_________________________________________________________________
_________________________________________________________________
__________________________________________________________________

b. College : ______________________________________________________
___________________________________________________________________
___________________________________________________________________
__________________________________________________________________

2. Leadership - A brief description of your experience as a


leader/member of any organization, (If applicable).

c. High School: __________________________________________________


_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

d. College : ______________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________