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PLC USA
PLC Application
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First Name
*
As it appears on legal documents.
Middle Name
As it appears on legal documents.
Last (Family) Name
*
As it appears on legal documents.
Gender
*
Male
Female
Marital Status
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Single, Married, etc.
Email
*
My current mailing address is the same as above.
*
Yes
No
English Language Skills
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I understand that I must take all classes in the English language and attest that I have the necessary language skills to meet this standard. (Check box to acknowledge.)
Besides English, are there any other languages in which you are proficient?
High School
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Type of School
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Public
Private
Correspondence
Charter
Parochial (eg. Christian school)
Home school
Are you currently enrolled in school?
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Yes
No
Will/did you graduate from school early?
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Yes
No
Did you receive a Higher School Certificate?
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Yes
No
If your education has been interrupted, please detail your activities since last enrolled.
List all other high schools, colleges/universities (including summers), and academic programs you attended, beginning with ninth grade.
Please list school/college/university name, dates attended, and location.
At present I attend the following local church:
Church Name
Name of church where you were baptized.
Location
Location of church where you were baptized.
Please list any significant extracurricular or community activities and hobbies in which you have participated. Include specific accomplishments such as musical accolades, church responsibilities, athletic distinctions, volunteer work, etc.
Please list activity, dates, and locations.
Please write an essay (650 words or fewer) that demonstrates your ability to develop and communicate your thoughts. Some ideas include: a person you admire, a life changing experience, or your viewpoint on a particular event.
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Comments
If you have additional information that was not specifically requested on the application or if you wish to further explain an answer for some part of the application, feel free to include it here.
Name
*
By writing my name and date below, and pressing the SUBMIT button I confirm that all information in this application is factually true and honestly presented and that I am the person submitting this application. *
GDPR Agreement
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I consent to having this website store my submitted information so they can respond to my inquiry.
SUBMIT