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SENIOR REP APPLICATION 2011

Your Full Name (required)

Your Email (required)

High School

Year of Graduation

Interests & Hobbies

Describe your personality

What are you involved in at school

Facebook URL (facebook.com/yourname)

Twitter URL (twitter.com/yourname)

Why would you want to be a Senior Rep?

How would you help promote Benj Haisch Seniors as a rep?

Why should I choose you as a rep?