Returning Ivylettes Application 2017- Due Date: 06/16/2017
Ivylette's Email Address
Ivylette's Full Name *
Ivylette's Phone Number
Date of Birth *
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Permanent Address *
(Street Address) (City) (State) (Zip Code)
Current School *
Most Recent Semester G.P.A *
Current Grade Level *
Number of Years as an Ivylette *
ACT Score *
SAT Score
Please list any allergies, special dietary or medical needs: *
Please list all extracurricular activities: *
Please note any Ivylette Offices held and the year held: *
Are you currently interested in running for an Ivylette office? If yes, which one? *
Please share: a) Your most memorable moment as an Ivylette and b) Why being an Ivylette is important to you. *
What activities or programs would you like to see the Ivylettes complete this school year? *
Please write a paragraph (5-7 sentences) stating how you plan to demonstrate the meaning of sisterhood to incoming Ivylettes. *
DISCLAIMER
Pearls of Promise Foundation, Inc., does not assume responsibility for
any injury your child may sustain while participating in Ivylettes
programs or events. It should be understood that parents/guardians are
responsible for securing their child’s transportation to and from
meetings, community service events and or social activities.
As the legal guardian of ___________________, I am giving my permission/commitment for/to participation in the Ivylettes program. Please make sure all medical information is completed prior to submission of this permission form.
(insert Ivylette's Name)
Parent/Guardian's Name
Parent/Guardian's Phone Number
Parent/Guardian's Email Address
Legal Guardian/Parent Electronic Signature
Date
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