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2011
October
T
ThinkLink Member Data
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Hello:
Thank you for joining the ThinkLink Network. To help us build your website, it is necessary we collect personal information from you. For your protection, all information is secured and all personal websites are password protected.
If you have questions,, please contact Mya Link at [858-401-0235 ] or email us at
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the email address specified below.
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Contact Information
First Name
:
Last Name
:
Address 1
:
Address 2
:
City
:
State
:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Zip
:
Phone
:
Email Address
:
What School do you attend?
What grade are you in?
Please list your Current Teachers & Class Schedule.
Period 1 Teacher
-- Select --
1
2
3
4
5
6
Period 2
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2
3
4
5
6
Period 3
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2
3
4
5
6
Period 4
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2
3
4
5
6
Period 5
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3
4
5
6
Period 6
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6
Please List Academic Activities
Clubs
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1
2
3
4
5
6
Affiliations
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2
3
4
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6
Counsels
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3
4
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6
Competitions
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1
2
3
4
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6
Other
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1
2
3
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6
Other
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2
3
4
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6
Please List Athletic Activities
Teams
-- Select --
1
2
3
4
5
6
Awards
-- Select --
1
2
3
4
5
6
Positions
-- Select --
1
2
3
4
5
6
Stats
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1
2
3
4
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6
Other
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Other
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2
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Please List Artistic Activities
Activities
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1
2
3
4
5
6
7
Affilations
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1
2
3
4
5
6
7
Exhibitions
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1
2
3
4
5
6
7
Awards
-- Select --
1
2
3
4
5
6
7
References
-- Select --
1
2
3
4
5
6
7
Other
-- Select --
1
2
3
4
5
6
7
Other
-- Select --
1
2
3
4
5
6
7
What Subject Do You Excel In ?
Science
Mathematics
Writing
Social Sciences
Technology
Visual Arts
Film
Music
Business
Other
Please Describe Your Interests
Please Describe Yourself
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