MASTER APPLICATION PERSONAL INFORMATION Topolove heen Page ssn a Fis) oo Social Seer Name 438 N.Frankwoos Ave Sanger cA 9365 7338807 (sucen civ) ‘easy Zi) Drivers License? (50) 283.2771 ‘Addces (Udixen) (Stes) (Cin) ee Phone Number Fresno ca 04/06/1988, Bien (Ciyy om) Date of Birth EMERGENCY INFORMATION David Topoloves (559) 787-3061 Father iam) Tone Numet) ‘Tein Appa) NFrenkwood Ave Sanger ca 93657 Sues} Civ Tas i) ‘Delia HealtvAnthem Bue Gross 79508, (surance Company Name) Coley Number) EDUCATION Foatcnoa. 1045 Bethe, Sanger, CA 93687 4 tune 2016, WORK HISTORY ‘Sporade summer Foner Jackie Esquivel, teacher saresevons™movment 7a a foomss 5272 Lowe Ave, Fresno memonirasoneacabn ces fone Anita Downs DarEERELOME 9127015 ‘Caterer and hoonass swe per Ca np Susan Hatch sonez6 = TRERDOTTES Caterer and 8084 St. Cli, CA 93612 CatrrREFERENCES—List three persons who have known you at least two years. (Not relatives or students) NAME-TITLE ‘BUSINESS ADDRESS BUSINESS PHONE Loyd Christiansen (659) 394-8613 Sacepiaina Bins Esquivel 5272 E Lowe Ave, Fresno (659) 322-0384 Brooke Prewitt (659) 360-6311 CAREER GOALS SHORT RANGE GOALS Be employed with a steady part-time job and pay {LONG RANGE GOALS [Become a successful schoo! psychologist after completing college EDUCATIONAL PLAN EDUCATIONAL GOALS Receive degree of psychology from BYU SPECIFIC DESCRIPTION (GP EDUCATION PLANS [Complete under graduate requirements at BYU after graduating from Sanger High Schoo! SPECIAL INTERESTS, ACTIVITIES, AND ACHIEVEMENTS. SPRCUAL INTERESTS wating, at, eading imming, volleyball vs Swimming, volleyball Block S, Straight A student, Acmmevencents SKILLS, STRENGTHS AND ABILITIES sens Computer iteracy, writing, editing, and typing ‘Works well wth others as well as independently, efficient and focused, hard-working, and organized “Type 60 WPM, manual labor, fing, organization, communications