Class of 2027 Senior Rep Application
Apply to become one of my senior reps. Let's capture some memories!!
Name of Student
*
First Name
Last Name
Name of Parent Contact (if applicable)
First Name
Last Name
Student Email
*
example@example.com
Parent Email - parents will be CC'd on all emails sent to the student.
example@example.com
Student Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent Phone Number - parents will be included in any conversations with the student.
Please enter a valid phone number.
Format: (000) 000-0000.
School district attending:
Any extracurriculars/ hobbies/ special interests?
Did anyone refer you to this application? If so, who?
Thank you for your submission!
I will review all applications and contact the chosen seniors on or before July 1. Anyone who refers another applicant will receive a $25 credit towards their own payment. Each additional referral will count for a $15 credit.
Submit Application
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