Career Forum Registration - 2012

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* 1. Name (first and last):

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* 2. Club:

Blue Hill

Camp Harbor View

Charlestown

Jordan

Orchard Gardens

South Boston

Yawkey

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* 3. How old are you?

13

14

15

16

17

18

19

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* 4. What grade are you in?

8th

9th

10th

11th

12th

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* 5. What school do you attend?

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* 6. Below are the fields that will be represented at this year's Career Forum. We will do our best to ensure you get most of your top choices. Please indicate your top 5 choices.

	First Choice	Second Choice	Third Choice	Fourth Choice	Fifth Choice
Patriots Lawyer	Patriots Lawyer First Choice	Patriots Lawyer Second Choice	Patriots Lawyer Third Choice	Patriots Lawyer Fourth Choice	Patriots Lawyer Fifth Choice
CSI Rep	CSI Rep First Choice	CSI Rep Second Choice	CSI Rep Third Choice	CSI Rep Fourth Choice	CSI Rep Fifth Choice
College Sports/Fitness Coach	College Sports/Fitness Coach First Choice	College Sports/Fitness Coach Second Choice	College Sports/Fitness Coach Third Choice	College Sports/Fitness Coach Fourth Choice	College Sports/Fitness Coach Fifth Choice
Harmonix Video Game Designer	Harmonix Video Game Designer First Choice	Harmonix Video Game Designer Second Choice	Harmonix Video Game Designer Third Choice	Harmonix Video Game Designer Fourth Choice	Harmonix Video Game Designer Fifth Choice
Cartier Jewelry Rep	Cartier Jewelry Rep First Choice	Cartier Jewelry Rep Second Choice	Cartier Jewelry Rep Third Choice	Cartier Jewelry Rep Fourth Choice	Cartier Jewelry Rep Fifth Choice
Firefighter	Firefighter First Choice	Firefighter Second Choice	Firefighter Third Choice	Firefighter Fourth Choice	Firefighter Fifth Choice
Hair Dresser/Salon Owner	Hair Dresser/Salon Owner First Choice	Hair Dresser/Salon Owner Second Choice	Hair Dresser/Salon Owner Third Choice	Hair Dresser/Salon Owner Fourth Choice	Hair Dresser/Salon Owner Fifth Choice
Converse Sneaker Designer	Converse Sneaker Designer First Choice	Converse Sneaker Designer Second Choice	Converse Sneaker Designer Third Choice	Converse Sneaker Designer Fourth Choice	Converse Sneaker Designer Fifth Choice
Veterinarian	Veterinarian First Choice	Veterinarian Second Choice	Veterinarian Third Choice	Veterinarian Fourth Choice	Veterinarian Fifth Choice
DJ	DJ First Choice	DJ Second Choice	DJ Third Choice	DJ Fourth Choice	DJ Fifth Choice
Technology - Microsoft	Technology - Microsoft First Choice	Technology - Microsoft Second Choice	Technology - Microsoft Third Choice	Technology - Microsoft Fourth Choice	Technology - Microsoft Fifth Choice
Teacher	Teacher First Choice	Teacher Second Choice	Teacher Third Choice	Teacher Fourth Choice	Teacher Fifth Choice
Theater Rep	Theater Rep First Choice	Theater Rep Second Choice	Theater Rep Third Choice	Theater Rep Fourth Choice	Theater Rep Fifth Choice
SWAT Team Rep	SWAT Team Rep First Choice	SWAT Team Rep Second Choice	SWAT Team Rep Third Choice	SWAT Team Rep Fourth Choice	SWAT Team Rep Fifth Choice
GAP/Old Navy Rep	GAP/Old Navy Rep First Choice	GAP/Old Navy Rep Second Choice	GAP/Old Navy Rep Third Choice	GAP/Old Navy Rep Fourth Choice	GAP/Old Navy Rep Fifth Choice

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* 7. If you have any dietary restrictions, please specify here: