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STUDENT NAME
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NAME OF SCHOOL
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PARENT NAME
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ADDRESS
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CITY
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STATE
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ZIP CODE
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What has been your biggest accomplishment in life?
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What has been your biggest accomplishment in school?
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What are you most proud of? Please explain why
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What do you want to do as a career? Please explain why
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What is your favorite sport
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Who is your favorite athlete?
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What is your favorite game?
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What is your favorite food?
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What is your favorite restaurant?
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What is your favorite toy of all time? Please explain why
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What is your favorite TV show?
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Who is your favorite TV character? Please explain why
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Who is your favorite music artist?
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What is your favorite song of all time? Please explain why
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What do you like most about school?
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What do you dislike most about school?
What type of student do you consider yourself
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EXCELLENT
GOOD
AVERAGE
BELOW AVERAGE
What is your least favorite subject? Please explain why
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Please tell us how do you learn best, select up to two:
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I learn best by hearing
I learn best by seeing
I learn best by touching and feeling
I learn best by doing
I learn best alone
I learn best in groups
What is your favorite day of the week? Please explain why
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What is your favorite thing to do on a Saturday? Please explain why
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What are you best at?
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Please list in order of importance which you would rather receive for a job well done. Praise Money Award Recognition
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Who is your favorite teacher of ALL-TIME? Please explain why
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Who is your least favorite teacher of ALL-TIME? Please explain why
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Who is your best friend? Please explain why
Please list 3 things you like about people
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1. 2. 3.
Please list 3 things you dislike about people
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1. 2. 3.
What do you like most about yourself?
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In 50 words or less plaese tell CLUB X U what you expect from us.
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