Student Information

First Name *

Last Name *

MI

Address 1 *

Address 2

Phone

Email Address

City *

State *

Zip Code *

Major Interest of Study or Career Choice *

Residence Status *

US Citizen

US Permanent Resident

International Student

Parent/Guardian Information

First Name *

Last Name *

Phone

Email Address

School Counselors Information

First Name *

Last Name *

Phone

Email Address

Academic Records

High School *

City *

State *

GPA *

Please list any awards or honors that you have received. *

Please list any sports, extracurricular, or community service activities you have participated in.

Please explain why you are interested in the Exploring Social Services Unit and why you should be chosen. *

Certifications

I understand that if I am selected and accept to serve on the Exploring Social Services Unit of Inspiring HANDS, Inc. that I am committing to the following: To maintain a good standing and grade point average in school. To uphold the mission and vision of the organization, which is to extend a hand directly to help those in need within our community and to encourage other individuals and businesses to do the same. To uphold the good standing, reputation, character of the organization at all times To attend the monthly Board of Directors meetings, typically held the 1st or 2nd Tuesday of each month. (No meetings are held in June or December) To participate in the annual Come Together event on Saturday, November 3rd from 5-11 pm To participate in at least one other IH sanctioned event throughout the year. To provide my own transportation to and from meetings and events. *

Student Certifications

I understand that my electronic signature below is acceptance of the above terms. *

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Parent/Guardian Certifications

I hereby grant approval for my son/daughter to apply to participate in the Exploring Social Services Unit of Inspiring HANDS. My electronic signature certifies this. *

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Thank you for your application. Participants will be notified by April 9, 2018 and will be required to complete a more detailed application thru the Exploring program. The first Board of Directors meeting will be held on Tuesday, April 10th and general meeting on Wednesday, April 24th.