APPLICATION FOR NEW MEMBERSHIP NATIONAL BETA CLUB LAKE NONA CHAPTER

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1 APPLICATION FOR NEW MEMBERSHIP NATIONAL BETA CLUB LAKE NONA CHAPTER Please Print Legibly! Student Name: Student Preferred Name: Grade Level: Student ID: Student Address: Zip code: Phone Number (primary contact): Student Schedule: Period Subject Teacher Room Number

2 National Beta Club members exemplify excellence in academic achievement, character, leadership, and service. Being in good academic standing is an integral part of membership. The Lake Nona Chapter requires a minimum 3.2 weighted GPA from the previous year in order to gain acceptance. In addition, we look at previous coursework to see a level of academic rigor. Previous Year GPA: Signature of Guidance Counselor: List previous AP and Dual Enrollment classes (do not include current year): Community Service: Current Number of Community Service Hours: Signature of Guidance Counselor: Community Service Activities: List at least two community service activities and describe the service. Name of Activity Service Description

3 Extracurricular Activities: Please list any clubs, sports, organizations, or jobs that you are affiliated with currently or in the past. If activity was in the past, list the time period you participated in that activity. Essay: The National Beta Club is a distinguished honor society that consists of leaders. As stated by John Quincy Adams, If your actions inspire others to dream more, learn more, do more and become more, you are a leader. In a paragraph, explain what this quote means to you and how you will use Beta Club to inspire or initiate change for a cause. In another paragraph, explain how Beta club will allow you to reach your goals in high school and the future. Your response should be two paragraphs, typed or handwritten legibly in blue or black ink. Please attach the response to the application and make sure your name is at the top of the paper. Recommendations: Please attach two letter of recommendation forms to your application. One letter of recommendation must come from a past core class teacher and the other may come from another core class teacher, non-core class teacher, club sponsor, or coach. This application is due on October 9 th, The application can be sent to 561 (before school, during A lunch, or after school only) or to any Beta officer.

4 LAKE NONA BETA CLUB RECOMMENDATION FORM Student Name: Recommender Name: Subject: Please circle a number 1 to 3 (1 disagree, 3 agree) 1. Student participates actively in class/given task Student is on time Student is willing to help others Student is responsible in completing tasks given to them Student shows academic integrity Student has motivation to complete tasks Student respects others Student has self-confidence Student displays leadership qualities Student is dependable and reliable Further Comments: National Beta Club is an honor society that strives for members with academic excellence, character, leadership, and service. Based on your observation of the student, please rank your recommendation? Completely Recommend Slightly Recommend No Recommendation Signature:

5 LAKE NONA BETA CLUB RECOMMENDATION FORM Student Name: Recommender Name: Subject: Please circle a number 1 to 3 (1 disagree, 3 agree) 1. Student participates actively in class/given task Student is on time Student is willing to help others Student is responsible in completing tasks given to them Student shows academic integrity Student has motivation to complete tasks Student respects others Student has self-confidence Student displays leadership qualities Student is dependable and reliable Further Comments: National Beta Club is an honor society that strives for members with academic excellence, character, leadership, and service. Based on your observation of the student, please rank your recommendation? Completely Recommend Slightly Recommend No Recommendation Signature:

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