MOD (Men Of Distinction)Squad Application
Please complete this application in its entirety. Submit this application with a community service idea by SEPTEMBER 20, 2019.
What is your first name? *
Your answer
What is your last name? *
Your answer
What is your home address? *
Your answer
What is your home phone number? *
Your answer
What is your birthdate? *
MM
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DD
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YYYY
Do you have an email address? *
Required
If yes, what is your email address? *
Your answer
What is your Guardian(s) name(s)? *
Your answer
What is your Guardian(s) email address(es)? *
Your answer
Answer the following questions in complete sentences. How did you hear about MOD SQUAD? *
Your answer
Are you available to attend activities after school and / or on Saturday? *
Why do you want to be a part of MOD SQUAD? *
Your answer
How will you contribute to the success of MOD SQUAD? *
Your answer
What do you expect to receive from the MOD SQUAD? *
Your answer
What is one thing you think will prevent you from becoming a member? *
Your answer
Describe IN DETAIL your community service idea *
Your answer
Proposed date and time of the project: *
Your answer
Resources needed for this project: *
Your answer
Why do you desire to implement this project? *
Your answer
Membership will be granted to applicants following their interview. If you have any questions, see Mr. Will *
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