2018 Catalyst for Positive Change Student Profile Form

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Syntero will host it's 28th annual Catalyst for Positive Change Awards Breakfast on Friday, May 3rd, 2019. This event will celebrate outstanding high school seniors within our community who exemplify Syntero's mission and core values: Integrity, Empowerment and Innovation. Please submit the completed student profile form below. All entries must be submitted by 8:00am on Friday, March 1st to be considered.

If you have questions or concerns contact Sarah Barr, Development Director
EMAIL: sbarr@syntero.org
PHONE: 614.457.7876 ext.237

STUDENT'S PERSONAL INFORMATION

In order that your name be read properly during the introduction it is important that we know the correct pronunciation. If your name is pronounced in a special way, please use the following pronunciation instructions to advise us how your name should be correctly pronounced. Please indicate either the phonetic spelling of your name or a familiar word that rhymes with your name. Syllables are separated by a dash and stressed syllables are capitalized. For example:
Raul Gonzalez would be rah-OOL gan-SAH-les
or
Nqoc Nguyen would be nank nuhWEN sounds like knock WIN

PARENT OR GUARDIAN INFORMATION

Parent(s) name(s) (please include both first and last names) or the name of another adult who will attend the breakfast with you. Please be sure to include your parents' phone number(s) (more than one if necessary), so we may call for clarification if necessary.

FIRST PERSON


SECOND PERSON

Student's Attributes and Activities
CHARACTER ATTRIBUTES
Include 1 example for each of the 6 attributes listed below. Use examples of situations where you exhibited the following character attributes: trustworthiness, respect, responsibility, fairness, caring, and citizenship.

Do you participate in community based activities? Do you volunteer, participate in civic, faith-based or other outside organizations? Please list no more than four examples of your participation and involvement in the community.

UPLOAD STUDENT'S PHOTO

Use this section of the form to upload the student's head-and-shoulder shot. Maximum fill size is 10MB. Allowed format types are jpg, jpeg, png, gif. Use your last name, first name as the file name. NOTE: Send your photo as soon as possible but no later than midnight, March 1, 2018.

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NOTE: This form cannot be submitted without the student photo. Maximum file size 10MB.

SUBMIT YOUR PROFILE

Thank you for completing the 2016 Catalyst for Positive Change student profile form. Take a minute to review your entries and once you are certain all information is correct type the the four characters displayed below into the box above them and click the "Submit" button.

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