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    Extracurricular Form Updated 2015

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    Ài
    This document is an extracurricular activities form for a student to fill out. It requests personal information like name, address, graduation year, and contact details. It then lists various clubs, volunteer activities, sports, competitions, and awards for the student to indicate their involvement in by checking boxes. The form emphasizes providing accurate information as it will be used for academic transcripts, and notes the requirements that abbreviations be spelled out and the form be filled out in blue or black ink with signatures and contact information before the stated deadline.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Extracurricular Form Updated 2015

    Uploaded by

    Ài
    21 views3 pages
    This document is an extracurricular activities form for a student to fill out. It requests personal information like name, address, graduation year, and contact details. It then lists various clubs, volunteer activities, sports, competitions, and awards for the student to indicate their involvement in by checking boxes. The form emphasizes providing accurate information as it will be used for academic transcripts, and notes the requirements that abbreviations be spelled out and the form be filled out in blue or black ink with signatures and contact information before the stated deadline.

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    EXTRACURRICULAR-FORM-UPDATED-2015.doc

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    This document is an extracurricular activities form for a student to fill out. It requests personal information like name, address, graduation year, and contact details. It then lists various clubs, volunteer activities, sports, competitions, and awards for the student to indicate their involvement in by checking boxes. The form emphasizes providing accurate information as it will be used for academic transcripts, and notes the requirements that abbreviations be spelled out and the form be filled out in blue or black ink with signatures and contact information before the stated deadline.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    21 views3 pages

    Extracurricular Form Updated 2015

    Uploaded by

    Ài
    This document is an extracurricular activities form for a student to fill out. It requests personal information like name, address, graduation year, and contact details. It then lists various clubs, volunteer activities, sports, competitions, and awards for the student to indicate their involvement in by checking boxes. The form emphasizes providing accurate information as it will be used for academic transcripts, and notes the requirements that abbreviations be spelled out and the form be filled out in blue or black ink with signatures and contact information before the stated deadline.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Universal​ ​School

    Extracurricular​ ​Activities​ ​Form


    Information​ ​requested​ ​is​ ​needed​ ​for​ ​academic​ ​transcripts.​ ​Please​ ​make​ ​sure​ ​all​ ​the​ ​information​ ​is​ ​accurate.
    Please​ ​print:
    First​ ​name: Middle​ ​Initial: Last​ ​name:
    Address: City:​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​,​ ​Illinois Zip​ ​Code:
    Year​ ​of​ ​graduation:​ ​2020 Date​ ​of​ ​birth:​ ​ ​ ​ ​ ​ ​ ​ ​ ​/​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​/ Soc.​ ​Sec.​ ​#​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​-​ ​ ​ ​ ​ ​ ​ ​ ​ ​-
    Parent/Guardian​ ​name: ​ ​ACT​ ​: SAT:

    CLUB OFFICE/POSITION/TITLE ADVISOR/COACH CONTACT​ ​INFO CHECK​ ​IF


    PARTICIPANT
    ID​ ​Club​ ​(Shelter,​ ​Food​ ​Pantry,
    Interfaith​ ​Events)
    Students​ ​for​ ​Humanitarian​ ​Aide

    National​ ​Honor​ ​Society

    Book​ ​Club

    Student​ ​Council

    I.T.​ ​Squad

    Cancer​ ​Awareness​ ​Club

    Drama​ ​Club

    H-UNIT​ ​(School​ ​Spirit)

    STEM​ ​Club

    MUNUC​ ​(Model​ ​United​ ​Nations​ ​of


    the​ ​University​ ​of​ ​Chicago)
    Debka​ ​Troupe

    VOLUNTEER​ ​WORK

    Mosque​ ​Foundation

    CIOGC​ ​(Council​ ​of​ ​Islamic


    Organization​ ​of​ ​Greater​ ​Chicago)
    Mosque​ ​Foundation​ ​Community
    Center
    Local​ ​Public​ ​Library
    (Provide​ ​Name)
    Palos​ ​Community​ ​Hospital

    Christ​ ​Hospital

    Zakat​ ​Foundation

    AMP​ ​(American​ ​Muslims​ ​for


    Palestine)
    Universal​ ​Saturday​ ​School
    Program
    Sunday​ ​School​ ​Program
    MAS-ICNA​ ​(Muslim​ ​American
    Society-Islamic​ ​Society​ ​of​ ​North
    America)
    Sound​ ​Vision​ ​Events

    Tutoring​ ​(Other​ ​than​ ​NHS


    member)
    Universal​ ​All​ ​School​ ​Program
    (Other​ ​than​ ​NHS​ ​member)
    Universal​ ​School​ ​Fun​ ​Fair
    (Other​ ​than​ ​NHS​ ​member)

    SPORTS

    Basketball

    Soccer

    Wrestling

    Baseball

    Volleyball

    Chess

    COMPETITION

    Lexicon

    Quran

    Arabic​ ​Spelling​ ​Bee

    Mathletes

    MIST​ ​(Muslim​ ​Interscholastic


    Tournament)
    WYSE​ ​(World​ ​Youth​ ​Science​ ​&
    Engineering)
    Regional​ ​Science​ ​Fair

    State​ ​Science​ ​Fair

    Islamic​ ​Knowledge​ ​Bowl

    AWARDS ADD​ ​ONLY TOP​ ​3​ ​PLACES Where Appropriate


    NO​ ​NEED​ ​TO​ ​ADD PARTICIPATION AWARDS
    Honor​ ​Roll

    High​ ​Honor​ ​Roll

    School​ ​Science​ ​Fair

    Regional​ ​Science​ ​Fair

    State​ ​Science​ ​Fair


    WYSE

    Arabic​ ​Spelling​ ​Bee

    Quran

    Islamic​ ​Knowledge

    MVP​ ​(Indicate​ ​Sport)

    Athletics

    Exemplary​ ​Behavior

    OTHER

    IMAD​ ​(Illinois​ ​Muslim​ ​Action


    Day)
    MYLS​ ​(Muslim​ ​Youth​ ​Leadership
    Symposium)
    International​ ​Fest

    Election​ ​Judge

    IMPORTANT​ ​NOTE:
    1. Abbreviations​ ​and​ ​Acronyms​ ​must​ ​be​ ​spelled​ ​out
    2. Form​ ​must​ ​be​ ​filled​ ​out​ ​in​ ​BLUE​ ​or​ ​BLACK​ ​INK​ ​PEN
    3. DO​ ​NOT​ ​submit​ ​form​ ​without​ ​SIGNATURES​ ​&​ ​CONTACT​ ​INFO​ ​or​ ​otherwise​ ​INCOMPLETE
    4. MUST​ ​SUBMIT​ ​BY​ ​DEADLINE​ ​INDICATED​ ​ABOVE
    5. For​ ​AWARDS​ ​Category,​ ​ONLY​ ​include​ ​SIGNIFICANT​ ​ones.​ ​Do​ ​NOT​ ​add​ ​PARTICIPATION​ ​Awards

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