<p> (Revision 9/13/2014) WACA Outstanding Student Leadership and Community Service Award Application Form</p><p>1. Date of the Application</p><p>Date: ______</p><p>2. Personal Information</p><p>First name:______Last Name: ______</p><p>Gender: ______DOB: ______</p><p>Home Address: ______</p><p>Phone Number: Home ______, Cell: ______</p><p>Email Address: 1. ______</p><p>3. School Information</p><p>Name of High School:______Graduation Year: ______</p><p>School Address: ______</p><p>Name of Chinese School: ______</p><p>Did you graduate from Chinese school? </p><p>Yes [ ] Year Graduation:______; HSK Score: ______; AP Chinese Score if any______;</p><p>No [ ] when was the last year you attended Chinese School ______</p><p>4. Academics Information</p><p>What is your Cumulative GPA:_____ GPA scale: _____ Weighted [ ] Unweighted [ ]</p><p>Please attach your up-to-date school transcript</p><p>Number of AP classes you have been taking since 9th grade ______Please provide name of the AP classes, score of AP exam and the grade you took it in:</p><p>1.______Score _____Grade ( ) 2.______Score _____Grade ( ) </p><p>3.______Score _____Grade ( ) 4.______Score _____Grade ( ) </p><p>5.______Score _____Grade ( ) 6.______Score _____Grade ( ) </p><p>5. Standardized Test Scores (attach score report copies) 1 (Revision 9/13/2014)</p><p>SAT I Scores: Math______Reading______Writing______Essay______Total______</p><p>Date of exam taken______Number of times you have taken the SAT I ______</p><p>ACT Scores: Math______Reading______Writing______Science______Essay______Total______</p><p>Date of exam taken______Number of times you have taken the ACT______</p><p>SAT II Scores: Subject 1: ______Score: ______Date of exam taken______</p><p>Subject 2: ______Score: ______Date of exam taken______</p><p>6. Activity Information</p><p>List extracurricular activities you participated in since 9th grade: add pages if you need more space</p><p>Type of activity.______for example: name of club, science research, etc.</p><p>Position/Leadership: ______Hours spent per week ______</p><p>Participation grade levels_____ since ______Month/ Year to ______Month/Year</p><p>Accomplishments: ______</p><p>7. Community Service (Volunteer)</p><p>List all volunteer activities since 9 th grade: Please add pages if you need more space</p><p>Type of volunteer activity______Your role: ______</p><p>Hours spent per week ______Weeks spent per Year ______</p><p>From ______Month/ Year to ______Month/Year</p><p>8. Awards</p><p>List awards that you earned since 9 th grade: Please add pages if you need more space.</p><p>Name of award: ______Date of award received:______</p><p>Level of the award: </p><p>International [ ] National [ ] State [ ] Regional [ ] Local [ ] School [ ]</p><p>2</p>