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Archived from http://www.antioch-college.edu/glenhelen/honors_institute/documents/08Application.pdf via the Internet Archive Wayback Machine (captured 2008-10-06).
(continued on back) ANTIOCH SUMMER HONORS INSTITUTE Student Application Information Name: Gender: M F Grade entering this Fall: 10th 11th Address: City: State: Zip: County: Date of Birth: Home Phone: Cell Phone: Email: Parent/Guard…