Name: ______________________________________________________________________________

Address: _____________________________________________________________________________

Telephone: ___________________________________________________________________________

Email: _______________________________________________________________________________

What are your future plans? _____________________________________________________________

Weighted GPA: __________________________ Unweighted GPA: ______________________________

Please attach your resume to this application.

SHORT ESSAY

Please tell us about an event in your life that truly defines your character. (You can use a separate sheet
of paper)

_____________________________________ __________________________

Signature Date