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Kansas City, Missouri NAACP Youth Council

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KCMO ACT-SO Online Application

KCMO ACT-SO Online Application

Kansas City, Missouri NAACP ACT-SO

Online Application

First Name:

Middle Name:

Last Name:

Home Address and Apt#

City

State:

Zip Code

Home/Cell Number:

Email Address:

Gender:

MaleFemale

United States Citizen:

YesNo

Date of Birth (MM/DD/YYYY):

Age:

High School Information:

High School Name:

High School Address(include City, State and Zip Code)

Present Grade:

9th10th11th12th

Do you plan to attend college?

YesNo

If Yes, Which One?:

ACT-SO Ambassador (if applicable)?:

Click here to name this section

Area of Competition:

Please check the appropriate Categor(ies).

Contestants may enter up to three (3) categories

Please make sure you click on the submit button listed at the end to submit your application.

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