2024 Nina Imani & Collective Institutes Applications

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Kennady Krystne Nelson

DOB: January 18, 2010 Place of birth: Cleveland Gender: Female
[149]
avivanelson@gmail.com
(216) 490-9551

Best way to reach you for your interview: Phone


Grade: 8th Grade
The brilliance
44125
Activities:


English is primary language at home: Yes
Other languages:
Allergies: No Describe:


Parent/Guardian
Aviva Nelson
4675 Burleigh Road
Garfield Heights, Ohio 44125
avivanelson@gmail.com
(440) 687-3090

Occupation: Office manger home health agency. Education: Four Year College

Siblings:

Single parent household? Yes
Support from family? No

Emergency Contact
Marvin Hopgood
(216) 644-4889

COVID-19 exposure or symptoms? No
COVID-19 testing consent: Yes

Signature
Aviva Nelson

Application Date: June 24, 2024 at 11:18 am

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