2022-23 Communities Application

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This application should be completed by the student applying for the Communities program.
Please note, you will be asked to provide the names of 2 current teachers that would recommend you for the Communities program.
Thank you for your interest and if you have any questions, please contact the Communities coordinator, Susie Leib, at communitiesonhs@gmail.com

Your last name (student applying for Communities) *

Your first name (student applying for Communities) *

Your email address (student school email is preferred) *

re-enter your email address *

What grade will you be entering next year (2022-23 school year)? *

9th

10th

11th

12th

What school are you currently attending? *

How did you hear about the Communities program (check all that apply) *

Family member is/was in Communities

Friend is/was in Communities

Parent/Guardian

Open House at Oshkosh North

Communities visit to my school

Other:

Required

Students who are successful in Communities enjoy learning and acting upon their knowledge to make a positive impact on their community. Please tell us why you are interested in this type of learning. *

Please provide the name of one of your current teachers that would be willing to recommend you for the Communities program. It is important to ask the teacher before naming them on this application. *

Please provide the name of another current teacher that would be willing to recommend you for the Communities program. Again, please ask before naming them on this application. *

Parent/Guardian email address. Important - this should be an account that is checked regularly as important communication will be sent here. *

re-enter parent/guardian email address *

Parent/Guardian first and last name *

Parent/Guardian contact number *

Optional - second email address for an additional parent/guardian that you would like to receive communications.

Optional - second parent/guardian first and last name

Optional - second parent/guardian contact number

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