Academic Information
Current or most recent school:
Major(s):
Year in school:
Expected date of graduation:
Degree:
GPA (4.0 scale):	.
Other school:
Last year of attendance:
Degree:
Academic honors, scholarships, affiliations, volunteer activities, and awards (please list top five):
Personal Statement
Please state your reasons for wishing to participate in the United States Model House of Representatives Program: (one paragraph only)

I certify that all the statements made on this registration form are true, correct, and complete. This registration hereby expresses my interest in participating in the 2008 U.S. Model Congress. Typing your name below will accepted be as a valid signature.

_________________________________________________________________ Signature

_____________________________ Date