Envoy Profile Form » DEED

Foundation for Delta Educational and Economic Development

Envoy Profile Form

First Draft Due By: November 3, 2019 Final Form Due: December 8, 2019

Envoy Name

First Name

Middle Name

Last Name

Suffix

(Area Code)Mobile Number

Email Address

Parent/Guardian Name

First Name

Last Name

Relationship

Parent/Guardian (Area Code)Mobile Phone

Parent/Guardian E-mail Address

Parent/Guardian Name

First Name

Last Name

Relationship

Parent/Guardian (Area Code)Mobile Phone

Parent/Guardian E-mail Address

How should your parents’/guardians’ name appear in the Souvenir Journal? (Check One)

Mr. John and Mrs. Jane Doe
Mr. John Doe and Mrs. Jane Doe

Other

What high school do you currently attend?

Year in High School: (check one)

Freshmen
Sophomore
Junior

Cumulative High School Grade Point Average(GPA)

List your top 5 hobbies or extra-curricular activities

1.

2.

3.

4.

5.

What church do you currently attend?

What are your goals after the completion of high school?

What year(s) have you served as an Envoy? (Check all that appy)

2019
2018
2017