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Community Service Award Application

Students Name:______________________________________________________________________________________

Students Address:____________________________________________________________________________________

___________________________________________________________________________________________________

High School:_________________________________________________________________________________________

Please discuss in detail your volunteer activities and


community involvement (you may attach additional pages if necessary):________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

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Students Signature:___________________________________________________________________________________

Application Deadline: March 1


Molloy College Office of Admissions
PO Box 5002 Rockville Centre, NY 11571-5002 (516) 323-4000

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