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• <br />"I will love life more than anybody I will ever know." <br />Neal Kwong,1998 <br />Neal Kwong Youth Citizenship Award Nomination Form <br />Please nominate a person between the ages of 12 and 21 who either lives in Falcon Heights or <br />has volunteered service within Falcon Heights. <br />1. STUDENT NAME: <br />~I i za.b ~.f+~ .~_~nct~ v` <br />2. ADDRESS & HOME PHONE NUMBER: <br />I~iS 3 .,~t1~eir4- fit. ~)v~r~-I~ <br />t--_• ., _. _.._ <br />5~l tnU~- <br />r ~ <br />lJ <br />3. PARENT/S NAME: <br />S~In.v~. ~ ~ CAhr r (_. iC,~ ~ V. y~ LGI.Vt " <br />COLLEGE INC1LUDINC.~ YOU; FAMILCY YEARLY GROSS INCOME: <br />5 1 2 l'•~/1,l ~(A Y2~. ~WJJ•2 0.1r2t~c~.u (ZV tt t~.iifA,~t~ lti ~ ~n Cai I ti %e a ~ Q~ nn~ <br />4. NUMBER IN THE FAMILY; NUMBER OF CHILDREN TO BE ATTENDING <br />5. ATTACH TRANSCRIPT A~TD LIST OF A <br />6. PLEASE IDENTIFY YOUR POST-SECONDARY PLANS AND STATE YOUR CAREER <br />GOALS (use reverse side if needed): <br />* ~ ee. u~tc~t~ri~~l s 1~~ ~-t <br />7. EXTRACURRICULAR &/OR COMMUNITY ACTIVITIES (use reverse if needed) <br />'~ see, ~.~tt t~.t-c;~ec~- sheet <br />8. HAVE YOUR RECEIVED ANY OTHER SCHOLARSHIPS OR AWARDS? <br />If yes, please list name & amount of award: <br />