Interact Application:
Please complete, sign, have parents sign and return to Mrs. Brust in A117 as soon as possible.
First and last name:
Homeroom Teacher and classroom #:
Phone # (cell phone or home – whichever is most useful):
Email:
Years in Interact (previous members only):
Shirt size:
Please highlight grade:
Freshman sophomore junior senior
Home address:_______________________________________________________________
In being part of Interact I UNDERSTAND…
- That the Interact program is asking me to give some of my valuable time to assist others in need.
- That in order to remain an “active” member I must:
- Complete at least 6 projects each semester – 12 for the calendar year
- Attend at least two meetings monthly (we meet weekly).
I AM WILLING TO BE AN ACTIVE MEMBER OF THIS CLUB: YES NO
SIGNATURE:_______________________________________
DATE:____________
Service project idea:
Transportation Waiver:
My child, _________________________, has permission to ride and/or drive with other students to and from Interact activities during the ____________ school year.
I, ____________________________, realize that many of the activities are held on weekends and require alternative transportation arrangements, some of which may involve Kenston parents, students and/or Annie Brust (Interact advisor).
In case of an emergency, I can be reached by celly.
Student Signature:_________________________________________________________
date:_________________
Parent Signature:__________________________________________________________
date:_________________
****Please complete and sign both forms and return to Mrs. Brust in A117. Applications will be accepted throughout the year – although applications must be turned in before participating in Interact events.
Volunteer logs can be obtained in the Guidance office and in the main office to keep track of hours.