Delaware BPA Middle-Level Representative Application
APPLICATIONS DUE NO LATER THAN MIDNIGHT ON FRIDAY, JANUARY 4, 2019.
Email address *
First Name of Candidate *
Last Name of Candidate *
Candidate Phone Number *
(XXX)XXX-XXXX
Candidate Parent/ Guardian Name *
Please note: By entering this information, you are indicating your parent/ guardian's acknowledgement and approval of your candidacy.
Parent/ Guardian Phone Number *
(XXX)XXX-XXXX... PLEASE NOTE: This will also serve as Emergency Contact information, if elected.
Name of School *
Complete SCHOOL Mailing Address *
School Chapter Advisor's Name *
Please note: By entering this information, you are indicating your advisor's acknowledgement and approval of your candidacy.
School Chapter Advisor's Email Address *
Please note: By entering this information, you are indicating your advisor's acknowledgement and approval of your candidacy.
Chapter Advisor's Phone Number *
(XXX)XXX-XXXX
Evidence of leadership ability in the Middle-Level of Business Professionals of America: *
EX: Officer in your current middle school chapter.
Evidence of other leadership ability in school, civic, or other organizations: *
Candidate's Letter of Intent *
Letter of why you, the Candidate, would be the best person for this office. NOTE: This is a PROFESSIONAL letter, and should be formatted as such.
Required
By checking the boxes below, I confirm, to the best of my knowledge: *
Required
PARENT/ GUARDIAN AGREEMENT
Please note: By entering this information, you are indicating your parent/ guardian''s acknowledgement and approval of your candidacy.
PARENT/ GUARDIAN should READ and CHECK BOXES THAT APPLY: *
Required
Electronic Signatures
Candidate's Electronic Signature. *
Please note: By entering this information, the Candidate is indicating that all information in this application is true, to best of your knowledge. PLEASE ENTER CANDIDATE FIRST AND LAST NAME as an electronic signature.
Chapter Advisor's Electronic Signature. *
Please note: By entering this information, the Candidate is indicating that this application was completed in the presence of their school's chapter advisor, thus indicating your advisor's acknowledgement, approval and support. PLEASE ENTER ADVISOR FIRST AND LAST NAME as an electronic signature.
Parent/ Guardian's Electronic Signature. *
Please note: By entering this information, the Candidate is indicating that this application was completed in the presence of their school's chapter advisor, thus indicating your advisor's acknowledgement, approval and support. PLEASE ENTER PARENT/ GUARDIAN FIRST AND LAST NAME as an electronic signature.
Submit
Never submit passwords through Google Forms.
This form was created inside of Red Clay Consolidated School District. - Terms of Service