Registration – NEC Award Demo Site

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Please fill out the registration form.

Step 1 of 2

Zipcode(Required)

Students High School(Required)

COUNSELOR INFORMATION

Your Counselor Email address(Required)

Counselors First Name(Required)

Counselor Phone(Required)

STUDENT INFORMATION - SECTION 1

Student Name(Required)

Address(Required)

Students Cell Phone(Required)

Date of Birth(Required)

Gender(Required)

Male

Female

Your Email Address(Required)

STUDENT ESSAY - SECTION 2

NARRATIVE A: Not to Exceed 250 words(Required)

Describe in your own words the event or events in your life of which you are most proud.

NARRATIVE B: Not to Exceed 250 words(Required)

Describe in your own words your plans for the future to make your community and world a better place to live

SECTION 3 ACTIVITIES

We recommend that you write out your answers in another editor such as Microsoft Word, then copy/paste to this area.

COMMUNITY SERVICE and/or RELIGIOUS ORGANIZATIONS ACTIVITIES

List community service and/or religious organizations that you are a member of, that meet or participate in service to the community at least once a month and any office held. Award 1 point for member, 2 points for officer, and 3 points for president/chairperson of organization. (Maximum 20 points)

VOLUNTEER SERVICE ACTIVITIES

List volunteer service hours (hospital, nursing home, Salvation Army, unpaid tutoring, etc.). Award 1 point for every 5 hours, 10 points per semester, senior year only. (Maximum 20 points)

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Phone

This field is for validation purposes and should be left unchanged.

58994