Please fill out this student profile to be included in the Celebrating Future Leaders Gala program book. Profiles must be completed by April 1, 2018. Please note, your photo will only be included in the program book if you attended the Paths to Graduation pathway or have submitted a high-resolution headshot to Kenneth Perry, Jr. (kennethp@c5georgia.org).

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* 1. Student's Full Name

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* 2. What High School do you attend?

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* 3. Please list your High School/community activities and involvement:

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* 4. What college do you plan to attend? If undecided, please list all that you are considering.

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* 5. What is your planned major?

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* 6. What are your career goals?

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* 7. What was your most memorable C5 Georgia experience?

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* 8. What have you learned/gained from your C5 Georgia experience?

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* 9. Any other comments?

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