Personal Data:
Student Name
________________________________________________
Address
_____________________________________________________
City, State, and Zip Code________________________________________
Phone Number
________________________________________________
High School
__________________________________________________
(To be filled in by judge)
Non-Weighted GPA: __________ _____
Class Rank __________ _____
Vocational Classes GPA __________ _____
On a separate sheet of paper, please list all the vocational classes and the grades earned in each.
Vocational Awards and Honors __________(number of awards) _____
On a separate sheet of paper, please list the awards and honors you have received and the years they were received.
SVC/SIA Sponsored Activities: __________(number of activities) _____
Total All Years (Athletic Teams, Scholastic Bowl, Honor Chorus, Non-conference athletics, etc.)
On a separate sheet of paper please list all the Conference activities in which you have participated and the years of the participation.
General School Activities __________(number of activities) _____
Total All Years (musical, plays, tutoring, Honor Society, etc.) On a separate sheet of paper please list all the general school activities in which you have participated and the years of the participation.
Two Teacher Recommendation Letters _____ _____
Principal’s
Verification Signature _________________________________
Total Possible Points 70 points Total Points Earned ____________