Interact application

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…

  1. That the Interact program is asking me to give some of my valuable time to assist others in need.
  2. That in order to remain an “active” member I must:
    1. Complete at least 6 projects each semester – 12 for the calendar year
    2. 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.