CC Multicultural Honor Society Application Form

Collin County Multicultural Honor Society Application Form

"Serving Above Self"
Dear Scholar,

Congratulations on your consideration of becoming a member of the Collin County Multicultural Honor Society. This program is focused on supporting promising students, like you, and producing the resources needed to help you grow academically.

Complete the form and a member of the committee will be in contact with you.
Name

First Name Last Name
Email
example@example.com
Phone Number

Area Code Phone Number
Date of Birth

Month Day Year
Date
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Educational Information
Name of High School Attended
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Current Cumulative GPA (out of 4.0, if applicable)
Date Expected to Graduate

Month Day Year
Date
Please list all volunteer and community service. (In and out of school if applicable)
Please list all leadership roles that you have held. (In and out of school if applicable)
Please list all special recognitions received. (If applicable)
Please list all extra-curricular activities or hobbies in which you participate. (If applicable).
In 100 words or less explain what you expect to gain from being an Honor Society Member. *

0/100
Upload a headshot (school picture preferably)

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I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE NON-APPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.
Applicant's Signature

Clear
Name of Applicant

First Name Last Name
Date Signed by Applicant

Month Day Year
Date
Should be Empty:

Collin County Multicultural Honor Society Application Form