‘The Monroe County Business Women
Please complete the following, You may use the back if additional space is needed,
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Mailing Address:
Telephone
Future Plans:
Have you applied and/or been accepted to a college or university? YES NO
If yes, Please write in the name of the college or university. aoe
‘Academic Awards:
‘School Activities:
Community Activities
Please attach a 300 word (or less) essay describing yourself and your future plans.
Applicant's Signature Date
‘To be completed and signed by School Counselor or Principal
High School GPA ACT Composite.
Signature
Printed Name: Title: