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Student Candidate Questionnaire


To receive more information and to enable us to better serve you, please complete the following information. This form is not required to contact us.
Any items marked by an asterisk (*) are required fields.
 

*Parents/Guardian Name:  
*Street Address:  
*City:  
*State:  
*Zip Code:  
*Telephone:  
*Email Address:  
   
Child's Name:
Age:
Grade/Year in School:
Cumulative Grade Point Average:
   
Has student completed Physics and/or Chemistry with labs?   Yes    No

 

 
         
Highest completed level of Math:    
         
PSAT/SAT/ACT Test Scores:
         
Advanced/AP Classes completed:
         
Athletic Experience:
   
Leadership Positions Held:
   
 

 

 

 

Olympic Institute for Leadership Development

1686 N.E. Tucson Way | Bend, OR  97701-6235

(877) 818-3651 | Fax: (541) 385-7732

Email: brian@olympicinstitute.com
Email Webmaster: casitedesign@comcast.net

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