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Herbert Slater Middle School Leadership Application
Please fill this application out to be considered for the Leadership program at Slater Middle School.
* Indicates required question
Name (Last Name, First)
*
Your answer
Current Elementary School
*
Strawberry Elementary
Brookhill Elementary
Kawana Elementary
Taylor Mountain Elementary
Village Elementary School
Slater Middle School (Currently 7th Grader)
Other:
What is your gender?
*
Female
Male
Non-Binary
Transgender
I prefer not to say
Other:
What are your pronouns?
*
She/Her
He/ Him
They/ Them
I prefer not to say
Other:
Have you maintained a "C" average on your report cards this year?
*
Yes
No
Maybe
🏡 Home Address
*
Your answer
📱 Phone Number
*
Your answer
📧 Your email address
*
Your answer
Parents email
*
Your answer
Have you ever been a part of student council?
*
Yes
No
If yes, list when and where?
Your answer
Are you actively involved in any clubs?
*
Yes
No
If yes, list:
Your answer
Please include one detailed paragraph (5 sentence minimum) explaining why you would like to take part in the leadership program at Slater:
Your answer
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