Los Cerritos Middle School ASB Application

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Please complete all sections of this application and send the teacher recommendation form to your teacher (link at the bottom of application).

• All sections of this application must be completed for your application to be accepted.

This application if for 7th & 8th graders who are applying for ASB.

Due Date: March 28, 2024

Email *

Students Name *

Home Address

Student's Email Address *prefer CVUSD student learn account if you have one

Parent's Name(s)

Parent's Email Address(es)

Parent Phone Number

Self Assessment

Please rank yourself honestly for each quality, 1-5 with 5 being the highest

Compassion

Clear selection

Sensitivity

Clear selection

Listening

Clear selection

Integrity

Clear selection

Loyalty

Clear selection

Honest

Clear selection

Cooperative

Clear selection

Respectful

Clear selection

Trustworthy

Clear selection

Sense of Humor

Clear selection

Interest in helping others

Clear selection

Accountability

Clear selection

Please discuss any school or community activities you are or have been involved in (3-5 sentences)

Describe why you would make a good peer leader (3-5 sentences)

Clear form

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