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Level of Recognition(可以

Name of Award or
Honor (60 字符 多选:School, Type of Award (2选
No. City/Community, 1: Academic or Non-
Characters or 数 State/Regional, National, Academic)
Less)
International)
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0
Year Received(可以
多选:9th, 10th, Elligibility Requirements (250 Characters
11th, 12th, after 12th) or Less) For example: How are award
If you participated in recipients chosen? How many people are 字符数
the program during selected to receive the award? Is there an
the summer, select application or nomination for the award?
the grade you were in
before that summer. 0

0
What did you do to achieve this honor? (350
Characters or less) We'd like to understand
what it took - on your part - to achieve this
award. For instance: Were there multiple 字符数
competitions that you had to participate in?
How much time did you dedicate to winning
this award?
0

0
Name of Program (N Briefly Describe Program (350 Characters
选1,下拉菜单放不 or less) Think about the program's main
No. focus, your experience, and what you 字符数
下,从下面的图中选 accomplished and learned while
) participating in the program.

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Year Participate(可以
多选:9th, 10th, 11th,
12th, after 12th) If after
12th, list number of How much time did you spend
years and months; If in the program? Hours/Week?
you participated in the Weeks/Year
program during the
summer, select the grade
you were in before that
summer.
What di you do? (350 Characters or less) Think
about your experience, and what you accomplished
and learned. We’d also like to know if you’ve held a
Name of Activity (60
No.
Characters or Less) 字符数 leadership role, which can mean more than just a
title — it can mean being a mentor to others, acting
as a point-person in charge of a specific task, or
taking a lead role in organizing an event or project.

0
Year Participate(可
以多选:9th, 10th,
11th, 12th, after
12th) If after 12th,
list number of years How much time did you
字符数 and months; If you spend in the program?
participated in the Hours/Week? Weeks/Year
program during the
summer, select the
grade you were in
0 before that summer.

0
Briefly Describe the Course (350 Characters or
Course Name (60 less) What program or school offered the
No. Characters or 字符数 course? Also, think about describing the major 字符数
Less) themes or topics the course covered, as well as
what knowledge or skills you learned.

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Year Participate(
可以多选:9th,
10th, 11th, 12th,
after 12th) If after
12th, list number of How much time did you spend in
years and months; class? Hours/Week? Weeks/Year
If you participated *It's ok to estimate, but try to be
in the program as accurate as possible.
during the summer,
select the grade you
were in before that
summer.
Briefly Describe the Organization (250
Name of Volunteer Characters or less) Consider what kind of work
No. Organization (60 字符数 the organization does: What’s the reason the 字符数
Characters or Less) organization exists today? How does it help a
certain community or population?

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Year
Participate(可以
多选:9th, 10th,
What did you do? (350 Characters or Less) Think 11th, 12th, after
about your experience, and what you accomplished 12th) If after
and learned while volunteering. We’d also like to 12th, list number
know if you’ve held a leadership role, which can of years and
mean more than just a title — it can mean being a 字符数 months; If you
mentor to others, acting as a point-person in charge volunteered
of a specific task, or taking a lead role in organizing during the
an event or project. summer, select
the grade you
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were in before
you volunteered.
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How much time did you
spend volunteering?
Hours/Week? Weeks/Year
*It's ok to estimate, but try
to be as accurate as possible.
Workplace (60 Briefly Describe the Company or
Characters or Less) Organization (250 Characters or less)
No. Please tell us the name of 字符数 Consider describing the industry, the size 字符数
the place where you of the company or organization, or its main
worked. focus.

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Job Title (60 What were your job responsibilities? (350
Characters or less) 字符数 Characters or Less) 字符数

SIC 3 team leader (global broze reward) 33

imc Mathematics Compet 28 individual (global gold reward) 31

University Professor Gui 114 individual 11

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Year Participate(可以多选:9th, 10th, 11th, 12th,
after 12th) We'd like to know when you worked at
this job and the number of hours per week you
worked. It's ok to estimate, but try to be as
accurate as possible. If you worked during the
Do you still work at this job?
summer, select the grade year before that summer.
* No or Yes (If Yes, start
年级(可多选; date MM/YYYY)
If after 12th, list School Year Summer
number of years (hours per week) (hours per week)
and months)

9 5 5 No

9 4 0 No

9、10 2 2 yes,8\2023

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