Harlingen City Council Student of the Month
Month Applying For: *
First Name *
Last Name *
Student ID Number *
Student Phone Number *
Student Email *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email *
Current Campus *
Scholastic/Academic Honors, Recognitions, and Achievements (Grades 9-12) *
PTSA Involvement – (Officer Position, Campus Activities) (9th-12th) *
Extra-Curricular Activities/Volunteer Organizations (9th-12th) *
What University do you plan on attending, and what field of study are you planning on pursuing? *
In the space provided, describe why you think you should be selected to be Student of the Month. You may want to include your goals and why you want to achieve them. *
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