High School & College Leader Application Form
Old Orchard Junior High School
Snowflake #15 --- Saturday, April 5, 2003
Theme:
“The Power of One”
Featuring John Foppe (Internationally known speaker) and Perfection on Wheels, trick bicycle team!

 

Name ________________________________________ Grade 9 10 11 12 -------College Fr. So. Jr. Sr.

Address ________________________ City ____________ St.____ Zip _________Ph_____________

Email __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

This year will be my (circle one) 1st 2nd 3rd 4th 5th ____ Snowflake.

Why do you want to be a leader at Snowflake? _______________________________________________

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What would you say is the most important reason to be drug-free?________________________________

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Read before you sign... Snowflake is a drug-free program. As a leader and role model you are expected to advocate and live a drug-free life. It would be dishonest and harmful to our program if you attend and are not drug-free. Thanks for your honesty and integrity. Leaders are also expected to attend Snowflake training which will be on Friday morning, March 21, 2003, from 8:00 AM - 11:00 AM.

“I am a drug-free person. I will advocate a drug-free life-style as a leader at Snowflake.”

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-------------Olsignaturee ------------------------Old Orchagdate

 

Directions: Copy this form, fill it out completely and return it to:
Mr. Tim Olson, Old Orchard Junior High School, 9310 Kenton Ave. Skokie, IL 60076

 
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