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Please provide your full address
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Grade level candidate is trying to enroll in:
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10th
11th
12th
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Applying for Entrance in:
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Have you applied to Laurinburg lnstitute before?
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If yes, in what year?
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Do you have a sibling applying for admission to Laurinburg Institute this year?
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If yes, Name
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Fathers’ Full Name
Laurinburg Institute is a residential school that seels shrdetrts ofcharacter from diverse racial, ethic, socioeconomic, and geographical backgrounds. How do you describe yourself?
African American
Black Native American
American Indian
Asian American
Asian
Pacific Islander
European American
Anglo
Caucasian Bi-racial
Multiracial
Hispanic American
Latino/a
Chicano/a
Name of relatives, if any, now or previously at Laurinburg Institute. Please state relationship and class if known.
Last First Middle Relationship Class
Fields with (*) are compulsory.
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What characteristic about yourself do you like most? Why?
What contribution do you think you could make to the community of Laurinburg Institute?
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Please attach photo of candidate here.
In an effort to help us know you better, please tell us how you spend your time after school, during the summer, and weekends. Explain the level at which you participated in each activity: include all athletic, extracurricular, and community activities in which you are involved. Indicate any leadership positions; sports played; years of participation; position(s), letters or awards won; jobs either paid or voluntary; instrument(s) played, years of experience, etc. We at Laurinburg Institute realize that not everyone has had the opportunity to participate in organized activities or to find employment, yet we are still interested to learn how you spend your free time and what is important to you. In the space below, please list your activities in order of importance to you. Then, using the space below, please elaborate and expound your list to help us better understand your interest.
Please share with us any personal achievements of which you are especially proud.
What would you most like to accomplish in life even if no one knew you did it?
Fields with (*) are compulsory.
