MASC Distinguished Student Leader Form

Thank you for applying to be an MASC Distinguished Student Leader.

Below are instructions  for completing the process.

  1. Student will complete and submit this Google Form no later than January 31.

  2. Student will download the fillable pdf form from masc1.org and complete (type) all parts.  Please follow all directions.

  3. Students must meet all criteria, print the completed application, and then present to their student council advisor and a principal.  

  4. If the principal and advisor find that the student has provided all necessary evidence of meeting the criteria, they will each confirm it with their signatures/initials in the appropriate spaces.

  5. Once application is complete and has all the signatures, student will scan pages 3-5 and handouts (for workshop leader section) and create a pdf. Student will then email this pdf to  masc@masc1.org   not later than Jan. 31.  It is preferred that all submissions are in one pdf.  Most school copiers/printers have the ability to scan and create a pdf.

  6. Student must email a Picture of themselves to  masc@masc1.org   no later than January 31.  This picture will be used on the screens at State Convention.  Please make sure it is a good quality (appropriate) picture - no selfies.

  7. Submit only the requested forms/pages indicated. No other items will be considered during the evaluation process. 

  8. Applications missing required information, signatures, or not in compliance with the regulations will not be evaluated by MASC.

Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Student Street Address *
City *
State *
Zip Code *
Student's Email - we would prefer a personal email because outside emails are sometime blocked by schools *
Student Cell Phone *
MASC District *
School Name *
School Street Address *
School City *
State *
School Zip Code *
School Phone Number *
Advisor First Name *
Advisor Last Name *
Advisor's School Phone Number *
Advisor's Cell Number *
Advisor's School Email *
Principal's First Name *
Principal's Last Name  *
Principal's Email *
Superintendent's First Name *
Superintendent's Last Name *
Superintendent's Email *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms