2023 State PAGE STAR Student Application Please complete this STAR Student Application and submit by April 1, 2023. (You will probably want to construct some your answers separately before beginning this form, then copy and paste the text.) Region STAR Student InformationSTAR Student's Name:* First Middle Last Nickname: (Preferred name) STAR Student's Mailing Address:*STAR awards will be mailed to the address provided here. Please double check for accuracy. Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code STAR Student's Email:* Enter Email Confirm Email STAR correspondences will be sent to this email address.STAR Student's Phone Number:*School InformationSTAR Region #:*Region 1Region 2Region 3ARegion 3BRegion 4Region 5Region 6Region 7Region 8Region 9Region 10Region 11School System:*Appling CountyAtkinson CountyAtlanta CityBacon CountyBaker CountyBaldwin CountyBanks CountyBarrow CountyBartow CountyBen Hill CountyBerrien CountyBibb CountyBleckley CountyBrantley CountyBremen CityBrooks CountyBryan CountyBuford CityBulloch CountyBurke CountyButts CountyCalhoun CityCalhoun CountyCamden CountyCandler CountyCarroll CountyCarrollton CityCatoosa CountyCartersville CityCharlton CountyChatham CountyChattahoochee CountyChattooga CountyCherokee CountyChickamauga CityClarke CountyClayton CountyClinch CountyCobb CountyCoffee CountyColquitt CountyColumbia CountyCommerce CityCook CountyCoweta CountyCrawford CountyCrisp CountyDade CountyDalton CityDawson CountyDecatur CityDecatur CountyDeKalb CountyDodge CountyDooly CountyDougherty CountyDouglas CountyDublin CityEarly CountyEchols CountyEffingham CountyElbert CountyEmanuel CountyEvans CountyFannin CountyFayette CountyFloyd CountyForsyth CountyFranklin CountyFulton CountyGainesville CityGilmer CountyGlascock CountyGlynn CountyGordon CountyGrady CountyGreene CountyGwinnett CountyHabersham CountyHall CountyHancock CountyHaralson CountyHarris CountyHart CountyHeard CountyHenry CountyHouston CountyIrwin CountyJackson CountyJasper CountyJeff Davis CountyJefferson CityJefferson CountyJenkins CountyJohnson CountyJones CountyLamar CountyLanier CountyLaurens CountyLee CountyLiberty CountyLincoln CountyLong CountyLowndes CountyLumpkin CountyMacon CountyMadison CountyMarietta CityMarion CountyMcDuffie CountyMcIntosh CountyMeriwether CountyMiller CountyMitchell CountyMonroe CountyMontgomery CountyMorgan CountyMurray CountyMuscogee CountyNewton CountyOconee CountyOglethorpe CountyPaulding CountyPeach CountyPelham CityPickens CountyPierce CountyPike CountyPolk CountyPulaski CountyPutnam CountyRabun CountyRandolph CountyRichmond CountyRockdale CountyRome CitySchley CountyScreven CountySeminole CountySocial Circle CitySpalding CountyStephens CountyStewart CountySumter CountyTalbot CountyTattnall CountyTaylor CountyTelfair CountyTerrell CountyThomas CountyThomasville CityThomaston-Upson CountyTift CountyToombs CountyTowns CountyTreutlen CountyTrion CityTroup CountyTurner CountyTwiggs CountyUnion CountyValdosta CityVidalia CityVirtual School SystemWalker CountyWalton CountyWare CountyWarren CountyWashington CountyWayne CountyWebster CountyWheeler CountyWhite CountyWhitfield CountyWilcox CountyWilkes CountyWilkinson CountyWorth CountySchool Name:* CollegesColleges applied to*Please list all the colleges to which you have applied. Place an asterisk next to the ones to which you have been accepted. For example, "Emory, Georgia Tech*, MIT*, Georgia Southern." College you plan to attend*If you haven't yet decided, list your preferred college(s), prefaced by "Not yet decided:" Activities and HonorsActivities*List up to three school activities/leadership positions which have meant the most to you in your high school career and tell why they have been important to you.School Activities 1School Activities 2School Activities 3Honors/Distinctions*List any honors, awards, or distinctions you have received in grades 9–12.College Scholarships/Recognitions*List any scholarships or recognitions you have received from colleges and universities.Community Service*List any community service, volunteer work, and/or religious organizations.Work ExperienceList any jobs you have held during the last three years.*Use the format Date/Position/Employer. For example, "Jun–Aug 2017, lifeguard, Newnan Elks Lodge." If none, just enter N/A.DatePositionEmployer Tell us about youFormative School Experience*Describe one (1) meaningful school experience which has influenced the development of your personal philosophy, career choice, or educational objective.Society and You*What do you see as the most difficult problem facing young people today and what would be your recommendation to fix it?Describe yourself*Describe yourself, focusing on two or three characteristics or facts that you consider most significant and that would be interesting to the dinner audience.Your STAR TeacherSTAR Teacher Name* Mr.Mrs.Ms.Dr. Prefix First Last Why did you choose your STAR Teacher?*Social Media InformationPhoto: (Headshot - senior picture quality)*Please upload a photo of you here.Max. file size: 50 MB.Consent Form:*Please upload your consent form here.Max. file size: 50 MB.Points of Interest*Two points of interest about yourself that you would like to share. (Please limit to no more than 100 words.)
