Valedictorians/Salutatorians

First Name* :

Last Name* :

Address (not for publication, We will mail you a copy of the magazine) :*

City* :

State* :
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Zip* :

School :

Choose One :*
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Your City :

Grade Point Average :

College you will be attending :

Major :

Parents' names :

Which country your father was born(not for publication) :

Which country your Mother was born(not for publication) :

Academic awards: (100 words or less)

Extracurricular activities: (100 words or less)

Cell phone number: (not for publication) :

Email address*: (not for publication) :

Birthday: (not for publication) :

What job/position do you plan to pursue and why? (100 words or less)

What is your favorite quote? :

If you could have breakfast with anyone, who would it be and why? :

Which issue (global or local) is close to your heart, and why? :

What is your little-known talent? :

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