2015-2016
CURRENT JUNIOR STUDENT APPLICATION!
HAND INTO ACTIVITIES OFFICE
WHEN COMPLETED!
Cover Sheet
Complete application packet
DUE Friday, March 13, 2015, by 3:00pm
In Activities Office
Student Name
-----------------------------------
Grade
-----
Include the following in your completed packet and check off on line below:
Cover Sheet with all Signatures
Contact Information Sheet
Short Answer/Essay Questions submitted by Email
Three teacher recommendations (submitted online)
1. _______________
2.
•
Two of the teachers must be CURRENT CORE teachers
•
Third adult may be a coach, elective teacher or counselor
•
Print the names below you gave recommendation forms to:
•
Must be submitted online by March 13, 2015.
_______________
3. _________________
I have read through this application and agree to the rules and regulations outlined in the application
and support my son/daughter's decision to apply for the Leadership Class at Grandview High School.
Parent's Signature
Parent's Name (printed)
Date
I have read through this application and agree to abide by the rules and regulations outlined in the
application if I am accepted into the Leadership Class at Grandview High School.
Student's Signature
Student's Name (printed)
Date
Contact Information
(Print clearly in INK)
Student Name
----------------------------Grade --Parent/Guardians Names:
------------------------------
Home Address
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Street
City
Home Phone:
Zip Code
--------------Student Cell: ------
--------------------------------Parent Email Address:
----------------------------------
Student Email Address:
PHOTO
Please attach a photo of yourself doing something that shows us a little bit about who you
are and/or who/what is important to you and influences your life. If you include a group
picture, please indicate who you are in the photo. Provide 2-3 typed sentences (no more)
describing the photo and why you picked this specific picture. Attach the brief statement
and picture to this packet when you turn it in. Note: If you are concerned with being able
to get the picture back, please try and scan the picture and print it out on either regular
printer paper or photo paper.