2021-2022 ASB Elective Application Form
Please contact Robin Zurn, ASB Coordinator, at rzurn@ssusd.org if you have any questions about the ASB elective. Applications are due by Friday, April 9th.
Email *
Student's Last Name *
Student's First Name *
Name of parent/guardian *
Email and  telephone contacts for parent/guardian *
What ideas and activities do you have to bring to ASB? *
Why do you want to be part of the ASB elective class? *
In your opinion, why are you a good candidate for the ASB elective class? *
Please list  the names of at least two SSUSD staff members (teachers, administrators, counselors, etc.) that you would like Mrs. Zurn to contact regarding a recommendation for you to join the ASB elective class. One should be from this year and one should be from last year. You can also list the name and contact information for a third adult leader (church, scouts, etc) *OPTIONAL. *
Do you plan on submitting a video or would you like to be interviewed by ASB? *
Do you have any questions about the ASB elective?
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