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<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><st1:place =
w:st=3D"on"><st1:PlaceName
 w:st=3D"on"><b style=3D'mso-bidi-font-weight:normal'><span style=3D'font-s=
ize:14.0pt'>WILLAPA</span></b></st1:PlaceName><b
 style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:14.0pt'> <s=
t1:PlaceType
 w:st=3D"on">VALLEY</st1:PlaceType></span></b></st1:place><b style=3D'mso-b=
idi-font-weight:
normal'><span style=3D'font-size:14.0pt'> NATIONAL HONOR SOCIETY<o:p></o:p>=
</span></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><span style=3D'font-size:14.0pt'>APPLICATION FOR MEMBERSHIP<o:p></o=
:p></span></b></p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal>Directions: Please complete all sections. Do not be mo=
dest.
Every bit of information can be used by the Faculty Council to assist with =
the selection
process. Application appearance and quality will be scored. Completion of t=
his
form does not guarantee selection. Please type neatly and return to advisor=
 by <b
style=3D'mso-bidi-font-weight:normal'><u>Wednesday, Mach 26, 2008 at 3:00PM=
</u></b>.</p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'>PART A<o:p></=
o:p></b></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><o:p>&nbsp;</=
o:p></b></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><u>I.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Administrative Information<o:p></o=
:p></u></b></p>

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<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><u><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></u></b></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'>Name</b>: ___=
_____________________________________<b
style=3D'mso-bidi-font-weight:normal'>Grade Level</b>: ________</p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><u>II.<span
style=3D'mso-spacerun:yes'>&nbsp; </span>Co-curricular Activities</u></b>:<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>List all activities in which you h=
ave
participated during high school. Include clubs, teams, musical groups, etc.=
 and
major accomplishments in each.</p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

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o-border-alt:
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o-border-alt:
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  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:4;height:.4in'>
  <td width=3D134 valign=3Dtop style=3D'width:100.6pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.55pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D132 valign=3Dtop style=3D'width:99.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D89 valign=3Dtop style=3D'width:66.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:5;height:.4in'>
  <td width=3D134 valign=3Dtop style=3D'width:100.6pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.55pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D132 valign=3Dtop style=3D'width:99.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D89 valign=3Dtop style=3D'width:66.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:6;height:.4in'>
  <td width=3D134 valign=3Dtop style=3D'width:100.6pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.55pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D132 valign=3Dtop style=3D'width:99.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D89 valign=3Dtop style=3D'width:66.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:7;mso-yfti-lastrow:yes;height:.4in'>
  <td width=3D134 valign=3Dtop style=3D'width:100.6pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.55pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:24.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D132 valign=3Dtop style=3D'width:99.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D89 valign=3Dtop style=3D'width:66.95pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<span style=3D'font-size:12.0pt;font-family:"Times New Roman";mso-fareast-f=
ont-family:
"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:EN-US;
mso-bidi-language:AR-SA'><br clear=3Dall style=3D'mso-special-character:lin=
e-break;
page-break-before:always'>
</span>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><u>III. Leade=
rship
Positions</u></b>: List all elected or appointed leadership position held in
school, community or work activities. Only those positions in which you wer=
e directly
responsible for directing or motivating others should be included. For exam=
ple,
elected student body, class, or club officer; committee chairperson; team
captain; newspaper editor; work area manager; or community leader.</p>

<table class=3DMsoTableWeb2 border=3D1 cellspacing=3D3 cellpadding=3D0
 style=3D'mso-cellspacing:2.0pt;border:inset 1.0pt;mso-border-alt:inset win=
dowtext .75pt;
 mso-yfti-tbllook:480;mso-padding-alt:0in 5.4pt 0in 5.4pt;mso-border-inside=
h:
 .75pt inset windowtext;mso-border-insidev:.75pt inset windowtext'>
 <tr style=3D'mso-yfti-irow:-1;mso-yfti-firstrow:yes'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Leadership Position</p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>9</p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>10</p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>11</p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>12</p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Activity or Organization</=
p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Advisor<span
  style=3D'mso-spacerun:yes'>&nbsp; </span>Initial/Date</p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Advisor </p>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Comments</p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:0;height:.4in'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;
  height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:1;height:.4in'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;
  height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:2;height:.4in'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;
  height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:3;height:.4in'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;
  height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:4;height:.4in'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;
  height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:5;height:.4in'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;
  height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:6;mso-yfti-lastrow:yes;height:.4in'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;
  height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><u><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></u></b></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><u>IV. Commun=
ity
Activities</u></b>:<span style=3D'mso-spacerun:yes'>&nbsp; </span>List comm=
unity
activities in which you have participated and note any major accomplishment=
s in
each. These should be any activities outside of school in which you partici=
pated
for the betterment of your community. Examples: church groups, clubs sponso=
red
outside the school, Boy or Girl Scouts, volunteer groups, or community art
endeavors. </p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<table class=3DMsoTableWeb2 border=3D1 cellspacing=3D3 cellpadding=3D0
 style=3D'mso-cellspacing:2.0pt;border:inset 1.0pt;mso-border-alt:inset win=
dowtext .75pt;
 mso-yfti-tbllook:480;mso-padding-alt:0in 5.4pt 0in 5.4pt;mso-border-inside=
h:
 .75pt inset windowtext;mso-border-insidev:.75pt inset windowtext'>
 <tr style=3D'mso-yfti-irow:-1;mso-yfti-firstrow:yes'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Community Activities</p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>9</p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>10</p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>11</p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>12</p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Activity or Organization</=
p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Advisor<span
  style=3D'mso-spacerun:yes'>&nbsp; </span>Initial/Date</p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Advisor </p>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Comments</p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:0;height:.4in'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;
  height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:1;height:.4in'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;
  height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:2;height:.4in'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;
  height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:3;height:.4in'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;
  height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:4;height:.4in'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;
  height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:5;mso-yfti-lastrow:yes;height:.4in'>
  <td width=3D135 valign=3Dtop style=3D'width:101.15pt;border:outset 1.0pt;
  mso-border-alt:outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;
  height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D37 valign=3Dtop style=3D'width:28.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D129 valign=3Dtop style=3D'width:97.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D93 valign=3Dtop style=3D'width:70.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D86 valign=3Dtop style=3D'width:64.35pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<b style=3D'mso-bidi-font-weight:normal'><u><span style=3D'font-size:12.0pt;
font-family:"Times New Roman";mso-fareast-font-family:"Times New Roman";
mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA'=
><br
clear=3Dall style=3D'page-break-before:always'>
</span></u></b>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><u>V. Work Ex=
perience</u></b>:
List below any job experiences and recognitions that you have received which
support your bid to be selected for membership in the National Honor Societ=
y.
(Work experience must have been paid.)</p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<table class=3DMsoTableWeb2 border=3D1 cellspacing=3D3 cellpadding=3D0 widt=
h=3D599
 style=3D'width:449.15pt;mso-cellspacing:2.0pt;border:inset 1.0pt;mso-borde=
r-alt:
 inset windowtext .75pt;mso-yfti-tbllook:480;mso-padding-alt:0in 5.4pt 0in =
5.4pt;
 mso-border-insideh:.75pt inset windowtext;mso-border-insidev:.75pt inset w=
indowtext'>
 <tr style=3D'mso-yfti-irow:-1;mso-yfti-firstrow:yes'>
  <td width=3D197 valign=3Dtop style=3D'width:147.4pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Employer Job Title</p>
  </td>
  <td width=3D36 valign=3Dtop style=3D'width:26.75pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>9</p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>10</p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>11</p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>12</p>
  </td>
  <td width=3D136 valign=3Dtop style=3D'width:101.7pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Length of Employment </p>
  </td>
  <td width=3D110 valign=3Dtop style=3D'width:82.3pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Hours<span
  style=3D'mso-spacerun:yes'>&nbsp; </span>Worked/Week</p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:0;height:.4in'>
  <td width=3D197 valign=3Dtop style=3D'width:147.4pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D36 valign=3Dtop style=3D'width:26.75pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D136 valign=3Dtop style=3D'width:101.7pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D110 valign=3Dtop style=3D'width:82.3pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:1;height:.4in'>
  <td width=3D197 valign=3Dtop style=3D'width:147.4pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D36 valign=3Dtop style=3D'width:26.75pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D136 valign=3Dtop style=3D'width:101.7pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D110 valign=3Dtop style=3D'width:82.3pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:2;height:.4in'>
  <td width=3D197 valign=3Dtop style=3D'width:147.4pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D36 valign=3Dtop style=3D'width:26.75pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D136 valign=3Dtop style=3D'width:101.7pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D110 valign=3Dtop style=3D'width:82.3pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:3;mso-yfti-lastrow:yes;height:.4in'>
  <td width=3D197 valign=3Dtop style=3D'width:147.4pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D36 valign=3Dtop style=3D'width:26.75pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D136 valign=3Dtop style=3D'width:101.7pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D110 valign=3Dtop style=3D'width:82.3pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><u>VI. Recogn=
ition
and Awards</u></b>:<span style=3D'mso-spacerun:yes'>&nbsp; </span>List belo=
w any
recognitions or awards that you have received which support your bid to be =
selected
for membership in the National Honor Society.</p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<table class=3DMsoTableWeb2 border=3D1 cellspacing=3D3 cellpadding=3D0 widt=
h=3D599
 style=3D'width:449.15pt;mso-cellspacing:2.0pt;border:inset 1.0pt;mso-borde=
r-alt:
 inset windowtext .75pt;mso-yfti-tbllook:480;mso-padding-alt:0in 5.4pt 0in =
5.4pt;
 mso-border-insideh:.75pt inset windowtext;mso-border-insidev:.75pt inset w=
indowtext'>
 <tr style=3D'mso-yfti-irow:-1;mso-yfti-firstrow:yes'>
  <td width=3D197 valign=3Dtop style=3D'width:147.4pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Recognition or Award</p>
  </td>
  <td width=3D36 valign=3Dtop style=3D'width:26.75pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>9</p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>10</p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>11</p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>12</p>
  </td>
  <td width=3D105 valign=3Dtop style=3D'width:79.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Hours Worked/Week </p>
  </td>
  <td width=3D140 valign=3Dtop style=3D'width:105.0pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt'>
  <p class=3DMsoNormal style=3D'mso-yfti-cnfc:1'>Description of Award</p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:0;height:.4in'>
  <td width=3D197 valign=3Dtop style=3D'width:147.4pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D36 valign=3Dtop style=3D'width:26.75pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D33 valign=3Dtop style=3D'width:25.0pt;border:outset 1.0pt;mso=
-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D105 valign=3Dtop style=3D'width:79.0pt;border:outset 1.0pt;ms=
o-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
  </td>
  <td width=3D140 valign=3Dtop style=3D'width:105.0pt;border:outset 1.0pt;m=
so-border-alt:
  outset windowtext .75pt;padding:0in 5.4pt 0in 5.4pt;height:.4in'>
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(regarding 9th-12th experiences):<o:p></o:p></u></b></p>

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<p class=3DMsoHeader>National Honor Society<span style=3D'mso-tab-count:2'>=
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