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STUDENT COUNCIL MEMBERSHIP APPLICATION 2009-2010

APPLICANT INFORMATION (5 POINTS)


Name:
Date of birth: Grade: Homeroom Teacher:
E-mail Address:
CHARACTER INFORMATION (1 POINT EACH)
Please list 5 things you think would make you a good candidate for the Student Council. These can be things you’ve done in or out of
school, awards you’ve won, talents, hobbies, or personal strengths that you have.
1.

2.

3.

4.

5.

INTERESTS (2 POINTS)
To make it easier to place you into a committee for future fundraisers, service projects, school spirit activities, and events please check
only 2 of the following areas.
Creative/Design Writing/Typing/Computers Building/Constructing/Clean Up
Organization/Planning Public Relations/Advertising Photography/Video
TEACHER RECOMMENDATION (1 POINT EACH)
Please list two of your recent teachers who would recommend you to be a member of the Student Council. Please have each teacher fill
out the attached form on the next page and return..
Teacher: Class:
Teacher: Class:
STUDENT RECOMMENDATION (1 POINT PER SIGNATURE)
As a Student Council member, you are representing the Student Body. You represent every single student in the school, particularly those
in your grade, and are expected to be a positive role model to your peers. You give feedback to the Council based on what your friends and
peers think. Because the Student Council is for the student body, please find 10-15 of your friends and peers that you feel comfortable in
discussing and sharing issues with and have them sign below.
1. 9.
2. 10.
3. 11.
4. 12.
5. 13.
6. 14.
7. 15.
8.
SIGNATURE (1 POINT)
I understand by turning in my application that it is subject to review by the Advisory Board and that I may or may not become a member of
the Student Council. I commit to at least one meeting during school and one after school meeting per month and more as needed. I
understand that I must maintain a C average and have zero out of school suspensions. I understand that other disciplinary matters will be
reviewed by the Advisory Board and may result in my being removed from the Council. I commit to participating in all Student Council
sponsored events and being a positive role model.

Signature of applicant: Date:

30 Points Total 09-10

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