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Name of Applicant:  ___________________________________

 I have the following personality characteristics:
 
Classical Disco Show Tunes Folk Popular (Top40)
Country/Western Jazz Rock Other None

 I value the following qualities in other people the most:
 
 
Loyalty Kindness Patience Intelligence Sense of Humor Decisiveness Politeness
Other: (please describe):  ___________________________________________________
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 


 
 
 
 
 
 
 
 
 
 
 
 
 
 
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2001 Maryland 4-H International Exchange Program Application (Revised 10/23/00)
Maryland Cooperative Extension programs are open to all citizens without regard to race, color, sex, disability, religion, age or national origin.