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Full Name
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Phone
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Email
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Tell us about your childhood.
When and where you were born, siblings, parents, special people in your life, etc.
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Tell us about your extra curricular activities (band, clubs, sports, lessons, music, etc and positions/leads played, any awards or recognitions)
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Tell us about your schooling (current grade level, grades, classes, awards, honors, best/worst classes etc.). What are your future school plans?
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Tell. us about you and/or your family work history and where you have lived.
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Tell us about your hobbies or interests.
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Tell us about your organization affiliations (not covered above). Now or past. List offices held. Why did you want to be a Rotary Exchange Student, Interact Member or Jr. Rotarian of the Month? How did you learn of the program?
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Any other information including change of address, phone, email, status, or anything else you are willing to share (best friend, best TV show, best/worst teacher/class/job, permanent home address, etc.)
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