Elite Club Application
Name_________________________________ SS#___________________
Address______________________________________________________
Email Address_________________________________________________
Home Ph# __________________________Cell ph#___________________
Major: _______________________________________________________
What are your interests? _______________________________________________________
What organizations do you now belong to or have you belonged to? List any offices
held.____________________________________________________________________________
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List any honors or special achievements you have received. ______________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
What "out of school" activities do you participate in?
_________________________________________________________________________________________
What can you contribute if you do join? __________________________________________________
Do you have or would you need transportation to projects or events away from campus?
_______________________________________________________________________________________
Please tell us something about yourself:
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