Leadership- Role Application

Haggerty

Students Name:______________________
Grade:___________________
Teacher:__________________
Length of This Role: From_______________ To______________
Position(s) You Are Applying For:
Safety Leader
Agenda Leader
Paper Leader
Chair/Floor Leader
Library Leader
Energy Leader
Attendance/Lunch Count Leader
Caboose
Computer Leader
Teachers Assistant
Phone Leader
Sanitizer Leader
Board Technician

Pencil Leader
Book Leader
Line Leader
Messenger
Lunch Leader
Substitute

Why I am interested in this role:

_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
How I could contribute to the school or my classroom in this role:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

________________________
Student Signature

________________________
Parent Signature