Martha Gaskins Elementary School National Junior Beta Club Student Application Form
APPLICATION DOES NOT GUARANTEE MEMBERSHIP!
Applicant's Full Name *
Your answer
Please list your current grade and your homeroom teacher's name. *
Your answer
Parent/Guardian Name (s) *
Your answer
Cell Phone Number (to receive texts) *
Your answer
Email Address (to receive updates etc.) If you do not have an email address, please go to www.gmail.com to create one. *
Your answer
Please list the names of the two teachers who will be submitting recommendations on your behalf. IT IS YOUR RESPONSIBILITY TO CONTACT THE TEACHERS! *
Your answer
STUDENT STATEMENT: Beta Club students must be committed to the "highest standards of moral character and social responsibility" according to the National Beta Club Creed. In the section below, (using 5 or more sentences) explain what you believe the phrase "highest standards of moral character and social responsibility" should look like in a student; how do you exhibit those qualities? *
Your answer
STUDENT VERIFICATION: I grant Ms. Allen and Mrs. Bester permission to review my school report cards to verify my grades. I understand that upon review of my application, teacher recommendations, and final report card, I MAY or MAY NOT be given an invitation to join the MGE Junior Beta Club. I attest to the fact that I am a good role model to my peers and have had no administrative referrals, or bus suspensions during my MGE career. I also understand that if I wish to accept the invitation, that I must submit my intent sheet and $25 Beta Club dues to Ms. Allen no later than October 11, 2019 and that NO EXCEPTIONS WILL BE MADE. Please type your first and last name (STUDENT) and today's date below, as your digital signature. *
Your answer
PARENT VERIFICATION: I have read the information provided by my child on this form and can verify that it is true, accurate, and complete in its presentation. I understand that my child MAY or MAY NOT receive an invitation to join the MGE Junior Beta Club, based upon the outlined criteria. If my child's application is accepted and he/she wishes to participate, he/she must submit the intent sheet and $25 Beta Club dues to Ms. Allen no later than October 11, 2019. I understand that NO EXCEPTIONS will be made for accepting these items after the due date. Please type your first and last name (parent/guardian) and today's date below, as your digital signature. *
Your answer
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