2015-2016
HANOVER COUNTY PUBLIC SCHOOLS
BETA CLUB APPLICATION
Hanover High School
Applicant’s Name _________________________________________:
(Print your name)
Additional information:
Qualifications required by the National Beta Club include worthy character, good
mentality, creditable achievement, and commendable attitude.
The selection process consists of a review of application forms by a faculty committee
and a review of recommended students’ applications by the principal.
Please complete the application form and return it to the faculty Beta sponsor by the date
designated in your school.
Once candidates are selected to become members, they will be officially inducted into the
National Beta Club. Participation in an induction ceremony is a requirement for membership.
Candidates will be notified of the faculty committee’s decision by letter after the selection
process is complete.
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I hereby declare, to the best of my ability, that all of the statements in this form are true. I attest
that I have read the cover letter and am cognizant of the fact that selection for membership is
based on worthy character, good mentality, creditable achievement, and commendable attitude. I
also understand that participation in an induction ceremony is a requirement for membership.
__________________________________________
Student Signature
________________
Date
__________________________________________
Parent Signature
________________
Date
STUDENT’S FULL NAME: __________________________________________________
ADDRESS: ________________________________________________________________
HOME PHONE: _________________ WORK PHONE FATHER: ____________________
WORK PHONE MOTHER: ___________________
DOCUMENTS/HIGH SCHOOL/BETAFORMS07-08
2015-2016
HANOVER COUNTY PUBLIC SCHOOLS
BETA CLUB APPLICATION
TEACHER RECOMMENDATION FORM
Hanover High School
STUDENT’S NAME:
I attest that I have taught the student named above for at least one semester. I find the
student to have demonstrated the qualities of worthy character, good mentality, creditable
achievement, and commendable attitude. I fully endorse this student as a candidate for the Beta
Club.
SIGNED:
DATE:
SIGNED:
DATE:
DOCUMENTS/HIGH SCHOOL/BETAFORMS07-08
2015-2016
HANOVER COUNTY PUBLIC SCHOOLS
STUDENT INFORMATION ACTIVITY FORM
BETA CLUB
Hanover High School
I.
ACTIVITIES: List all school and community activities in which you have participated
from the 9th grade to the present. Include clubs, teams, musical, church and volunteer
groups, etc. Have your advisor sign and comment on your degree of participation: attended
meetings only, moderately active, very active.
SCHOOL YEAR
DOCUMENTS/HIGH SCHOOL/BETAFORMS07-08
ACTIVITY
ADVISOR’S SIGNATURE/COMMENT
II.
LEADERSHIP ACTIVITIES: List all leadership responsibilities or leadership positions
held in school, community, or work activities from the 9th grade until the present. Have
your advisor sign for verification, when applicable.
SCHOOL YEAR
LEADERSHIP POSITION
GROUP/ACTIVITY
SIGNATURE
III. AWARDS RECEIVED: List all awards and honors received from the 9th grade until the
present.
SCHOOL YEAR
DOCUMENTS/HIGH SCHOOL/BETAFORMS07-08
AWARD/HONOR
IV. ESSAY: Below, please write a short essay in which you explain in detail how you have
demonstrated worthy character in your school and in your community, and also detail your
qualifications in the area of leadership. This may include such things as holding office,
leading by example, overcoming obstacles, demonstrating good citizenship, etc. Please be
specific and give examples to support your qualifications.
DOCUMENTS/HIGH SCHOOL/BETAFORMS07-08