Student Government Application

*Submit to Dr. Falkner in Room 305 by Friday, August 28

Student: ____________________________Grade: ________ Homeroom teacher: __________________

For which office would you like to campaign? You may choose TWO. Place a 1 beside your first choice and a
2 beside your second choice. Your recommendations and grades will be used to make a final selection.
___President (8th grade only)

___Vice-President (also serves as secretary)

___6th Grade Representative

___7th Grade Representative ___8th Grade Representative

-----------------------------------------------------------------------------------------------------------------------------------------What would you like to see our Student Government accomplish at LGMS?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Why is responsibility so important to being in a leadership role?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

You need TWO teacher recommendation forms completed and returned by August 28th.
Candidates will be notified by Friday, September 4.
DO NOT post any campaign signs until you receive notification from Dr. Falkner that you are a
candidate.
Campaign dates: September 8-11.
Each candidate may put up 5 poster-size campaign signs around the school. Think about where your
signs will be most effective. Signs cannot be negative toward other candidates or reflect any
inappropriate language/pictures. Use your posters to promote yourself.
Campaign signs can be put up with packing tape (clear) or duct tape.
Voting will be September 11th.
All posters must be taken down on September 11th by 4:00 PM.
Please see Dr. Falkner in room 305 if you have any questions or concerns. Thanks.

Student Government Recommendation Form

*Teacher: Please return this form to Dr. Falkners mailbox or Room 305 by Friday, August 28.
DO NOT return this form to the student!!

Student Name: _______________________________ Grade: ____ HR: ___________

1. This student is respectful to teachers, other adults, and classmates.

Always
Most of the time
Sometimes
Seldom
Never
2. This student exercises self-control and follows instructions.
Always
Most of the time
Sometimes
Seldom

Never

3. This student meets deadlines for projects and assignments.

Always
Most of the time
Sometimes
Seldom

Never

4. This student exhibits good decision making skills.

Always
Most of the time
Sometimes

Seldom

Never

5. This student is able to work independently.

Always
Most of the time
Sometimes

Seldom

Never

6. This student is in good academic standing at this time.

Yes
No
7. This student would make a great representative in LGMSs Student
Government.
Yes
No

Comments:

Teacher Name: __________________________

Student Government Recommendation Form

*Teacher: Please return this form to Dr. Falkners mailbox or Room 305 by Friday, August 28.
DO NOT return this form to the student!!

Student Name: _______________________________ Grade: ____ HR: ___________

1. This student is respectful to teachers, other adults, and classmates.

Always
Most of the time
Sometimes
Seldom
Never
2. This student exercises self-control and follows instructions.
Always
Most of the time
Sometimes
Seldom

Never

3. This student meets deadlines for projects and assignments.

Always
Most of the time
Sometimes
Seldom

Never

4. This student exhibits good decision making skills.

Always
Most of the time
Sometimes

Seldom

Never

5. This student is able to work independently.

Always
Most of the time
Sometimes

Seldom

Never

6. This student is in good academic standing at this time.

Yes
No
7. This student would make a great representative in LGMSs Student
Government.
Yes
No

Comments:

Teacher Name: __________________________