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Activity/Award Information Sheet |

Name __________________________
Period __________________
Read/LA teacher __________
School Activities & Awards
List all clubs and organizations you have been involved in during middle school, including your level of contribution to the organizations. Include any awards you have received.
| Date | School Activity or Club or Awards |
Community Activities
List community groups and organizations to which you belong. Include any church groups, sports teams, or lessons you take. Include awards you received. (Note: Going on a ski trip with a youth group does not count as community service because it is purely for your own pleasure. Marching Band for holiday parade does not count as community service if it is required for a grade in band. Community service includes activities in which you participate in not for your own benefit or pleasure but for the benefit of others.)
| Grade | Community Activity/Organization and Your Role or Contribution/Awards |
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1. Tell about an activity or experience that has
benefited you and/or your community. How did this activity or
experience help you grow as a person?
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2. Tell about a time when you had the courage to do the
right thing or make the right choice.
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| 3. All
students are special and unique. What is something about you that
makes you special?
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| 4. What dreams do you have for yourself? What is a
goal you would like to achieve in the next five to ten years?
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