MELBA MARTINEZ AMAYA IQ

APPLICATION FORM

Name: MELBA MARTINEZ AMAY…………..
Date of birth: 3 DE NOV. 1991………………
Emai: melba_mtz@hotmail.com……………
Permanent home address: fco. J. mujica ……
Mailing address :……………………………………..
Nationality :mexican……………………….
Possible area of concentration/major
(leave blank if undencided): my home…………………………………
Will you apply for financial aid?
Yes __*__ No____
List the high school/s you have attened or will
Graduate from: /name, date attenden, date of graduation)
Tecnica and Lazaro Cardenas… ……………
List any extracurricular activities you have participated in
And for how long:
Football for 7 years……………………………………
Did you receive any honors in any of these activities?
………………yes……………………………..

Do you plan on taking part in any of these activities in Collage?
Yes ____*___ No_________
List any academic honors you have received in high so
……big rendimient……………………………
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Please write a few sentences about an activity you´ve participated in (either extracurricular or work related) has meant a lot to you. Explain how it has made an it on your life.
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Much mportant football………………………………
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Write a few sentences abouy a person who has signic influenced you . what is your relationship and how have they influenced you?
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……………my mather always I in enithing…………
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