References

Please list a personal reference, not a relative whom we can contact.

Work Without Pay
Please list all jobs you have had since the ninth grade in which you received no pay.  For example, but no limited to, work you do at home in the family business, etc.  Please list employer's name and address, type of work involved, hours you work per week and dates of employment.

Work With Pay
List all jobs whether part-time or full-time for which you have received no pay.  For example, this could include mowing lawns, selling papers, baby sitting, working for parents or other relatives, clerking in store, etc.  Bigin with your present or most recent job and then continue listing jobs in order back to the beginning of the ninth grade.  List employer's name, supervisor/boss, and type of work you did, hours per week and dates of employment.

School Activities
Please list activities you participated in during each of the school years listed below.  Include any honors/awards you received, offices you held, duties you performed and the number of hours you participated in these activities.

Freshman Year

Sophomore Year

Junior Year

Senior Year

Hobbies
What are your hobbies and how many hours do you engage in your hobbies per week?

Additional Information
What additional information would you like to submit in consideration for this award?

Plans for the Future
State your goals and plans upon completion of high school.  What do you want to do with your life?

Being an Optimist
Define the word OPTIMISM and give an example of how you have displayed optimism in your life.