2019-20 OS Cabin Leader Application

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2019-20 OS Cabin Leader Application - South High Student

Please complete this application to be eligible as a potential Cabin Leader candidate. To be eligible to be selected for any fall and spring weeks you must complete this application AND have three teacher referrals on-file by Friday, August 23, 2019. All applications submitted after May 12, 2019 are good for the entire 2019-20 school year.

Email *

Name *

Grade Level *

(2019-20 School Year)

10th Grade

11th Grade

12th Grade

Gender *

Male

Female

Home Address *

(Street Number & Name, City, Zip Code)

Home Phone Number *

Parent Names *

(First and Last)

Parkway Email Address *

Parent Email Address *

Grade Point Average *

Above 3.50

3.00 to 3.49

2.50 to 2.99

2.00 to 2.49

Below 2.00

What school activities and/or clubs have you been involved with in the past school year?

What leadership roles have you participated in either at school or beyond? *

(i.e., Boy/Girl Scouts, High School Heroes, National Honor Society)

Have you been a Parkway Cabin Leader in the past? *

Yes

Have you ever been suspended for school misconduct in the past year?

Yes

Clear selection

Which of the following weeks are you available to serve as a South Middle or Southwest Middle Cabin Leader? *

(Check all that apply)

September 3-6, 2019 (South Middle)

September 17-20, 2019 (South Middle)

October 29-November 1, 2019 (Southwest Middle)

November 12-15, 2019 (Southwest Middle)

I would consider going with another school group besides South MS or Southwest MS.

Required

Submit

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