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* First Name:* Last Name:* Birthdate: (mm/dd/yyyy):* Phone Number:
Please Check all of the following that apply:
* Name and location of applicant's high school:
Name each college or university attended (if applicable):Include any degrees obtained.
Submit a detailed and organized list of your awards, achievements and activities (both in and out of school).
* Part B:
Please check, answer, and submit your response to ONE of the questions below.
Prepare a one-minute video that says something about you. Upload it to an easily accessible Web site (if you use YouTube, we recommend using a privacy setting) and give us the URL and access code. What you do or say is totally up to you. (Unfortunately, we are unable to watch videos that come in any form other than a URL link.) Do note that this is an optional submission.
URL and Access Code
Please click the submit button below once only.
Akron, OH 44325
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