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    Local Membership App

    Uploaded by

    api-31215843
    This application for membership provides information about the applicant including their name, address, contact details, current grade level, GPA, and English teacher. It also lists the preAP and AP classes taken, extracurricular activities, and other honor societies or service clubs involved in. The applicant further details their English classes taken in high school along with grades received, other English-related classes and activities, and any published works. They must confirm whether they have ever faced disciplinary action and provide an optional writing sample. The applicant signs to confirm the truth and accuracy of the information provided, and the application is then reviewed by the Faculty Advisory Council for consideration and final decision.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Local Membership App

    Uploaded by

    api-31215843
    573 views2 pages
    This application for membership provides information about the applicant including their name, address, contact details, current grade level, GPA, and English teacher. It also lists the preAP and AP classes taken, extracurricular activities, and other honor societies or service clubs involved in. The applicant further details their English classes taken in high school along with grades received, other English-related classes and activities, and any published works. They must confirm whether they have ever faced disciplinary action and provide an optional writing sample. The applicant signs to confirm the truth and accuracy of the information provided, and the application is then reviewed by the Faculty Advisory Council for consideration and final decision.

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    local membership app

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    This application for membership provides information about the applicant including their name, address, contact details, current grade level, GPA, and English teacher. It also lists the preAP and AP classes taken, extracurricular activities, and other honor societies or service clubs involved in. The applicant further details their English classes taken in high school along with grades received, other English-related classes and activities, and any published works. They must confirm whether they have ever faced disciplinary action and provide an optional writing sample. The applicant signs to confirm the truth and accuracy of the information provided, and the application is then reviewed by the Faculty Advisory Council for consideration and final decision.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    573 views2 pages

    Local Membership App

    Uploaded by

    api-31215843
    This application for membership provides information about the applicant including their name, address, contact details, current grade level, GPA, and English teacher. It also lists the preAP and AP classes taken, extracurricular activities, and other honor societies or service clubs involved in. The applicant further details their English classes taken in high school along with grades received, other English-related classes and activities, and any published works. They must confirm whether they have ever faced disciplinary action and provide an optional writing sample. The applicant signs to confirm the truth and accuracy of the information provided, and the application is then reviewed by the Faculty Advisory Council for consideration and final decision.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Application for Membership

    Applicant Information

    ________________________________

    __________

    Name

    Date

    ______________________________________________
    Address

    ______________________________________________
    City, State, Zip Code

    ____________

    ___________

    _________________

    Telephone

    Cell Phone

    Email

    ___________

    ___________

    _________________

    Grade

    current English teacher

    Cumulative GPA (weighted / unweighted)

    School Information

    ______________________________________________
    preAP or AP Classes Taken :

    __________________________________________________________

    ______________________________________
    ______________________________________________
    Extra-curricular Activities

    ______________________________________________
    Membership in Other Honor Societies

    __________________________________________________________

    ______________________________________________
    Membership in Service Clubs

    __________________________________________________________

    ______________________________________________
    Membership in Sports Teams

    __________________________________________________________

    English Classes
    English Classes Taken (indicate level AND grade earned for both semesters)
    level

    First semester grade

    second semester grade

    9th_______________________________________________________
    10th_____________________________________________________
    11th_____________________________________________________
    __________________________________________________________
    English-related Classes Taken AND Grade Earned (i.e. Drama, Mass Communication, Speech, or Journalism)

    __________________________________________________________
    __________________________________________________________
    __________________________________________________________
    English-related Activities (i.e. articles or poems published in school and non-school publications, speeches given to
    the student body, or related activities.

    __________________________________________________________
    __________________________________________________________
    Miscellaneous
    Have you ever been referred to a principal or assistant principal for serious misconduct or academic dishonesty?
    Yes ______

    No ______

    If yes, please explain. ________________________________

    __________________________________________________________
    Writing sample (optional): The applicant is invited to attach an optional piece of writing. It may be an essay, a
    short-story, poem, speech, song, dramatic scene, or some other genre. When appropriate, a video tape may be used.
    The purpose is to give the applicant an opportunity to illustrate skill and mastery in the English language.
    Statement: To the best of my knowledge, the above information is true and correct. False or misleading
    information will result in cancelled membership.
    Applicant Signature ___________________________________________________________________________
    Applicant: Do not write in shaded area

    Faculty Advisory Council:


    Applicants credentials verified _____________ (date)
    Application reviewed _______________ (date)
    Action taken: _____Accepted

    _____ Denied

    Faculty Advisory Council member initials: __________

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