More About The Camper

All About the Camper

13. E-mail Address: ________________________________________________

14. How did you learn of Gab-Nic Excelsior Nursing Tutoring Center and The Talented Tenth?

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15. Is this your first time coming to this program: ____________________________

16. Have you been to similar programs in the past? When and where? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

17. Do you know anyone who you think would like to participate in this summer program either as a participant or an guest activity coordinator? __________________________________________________________________________________________________________________________________________________________________________________________________________________

18. What Secondary, High School or College Attending presently?

Name:_________________________________________________________

Address:_______________________________________________________

19. What is your grade level presently?__________

20. What is you grade point average in school?_________

21. What school will you be attending in the fall?

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22. What is you best subject and why?

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23. What is you worst subject and why?

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24. Would you be interested in scholastic help? Yes. No. Which subject(s?)

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25. What are your hobbies? ______________________________________________________________________

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26. What is/are your talent(s). ______________________________________________________________________

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27. What are you aspiring to be?

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28. What would you like help in if you could get it?

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29. If you could be anything or anyone what or who would you be?

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30. What does character building mean to you?

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31. If you could change anything about yourself what would it be ______________________________________________________________________

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32. If you could have an impact on the world or change anything in your surroundings what would it be?

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34. What fun activity Would you like to partake in this summer: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________