Project Community 2011 Registration
Today's Date:
Student's Name:
Date of Birth:
School's Name and Grade:
Parent/Guardian Name:
Address:
Home Telephone:
Work Telephone:
Cell Phone:
Email Address:
Project Community runs on a 9-session basis. Do you anticipate missing any dates?
If yes, please select the date (s):
Please list three words you feel best describe you:
Please include a list of activities you are involved in including:
- Extracurricular/Community Activities
- Honors, Awards, Scholarships
- Special Interests/Skills
- Work and Volunteer experience
- Leadership positions held currently and in the past
Please include a personal statement:
In 500 words or less, please describe your experiences and current interest in the Japanese American community, your personal identity and what it means to you, and also what you hope to gain from Project: Community!
How did you hear about us?
