West Ranch High School Freshman/Transfer Transition and Mentor Program
Application for the 2012-2013 School Year. If you wish to be considered for membership, please complete this application by Wednesday, May 16. If you wish to be considered for an elected OFFICER position, the deadline to complete this application is Wednesday, May 9.
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CONTACT INFORMATION
First Name *
Last Name *
I am in the class of . . . *
E-mail address
Please give the e-mail address you check most frequently
Cell phone number
Often the fastest way to contact you will be by text message. If you receive a text from (661) 347-4990, that is Mr. Ippolito's Google Voice number.
Interested in running for elected office for this group?
Check only if interested
MY CLASS SCHEDULE
Please tell Mr. Ippolito the names of your teachers this semester in the event I need to send you information or materials here at school. I will also be contacting your teachers to verify that your character, your behavior, and the choices you make are fitting of a mentor, leader, and role model here at West Ranch High School.
PERIOD 1 SUBJECT and TEACHER *
Example: "Burrill - Math" or "Hirst - Science" -- Type "open" if you do not have a class this period.
PERIOD 2 SUBJECT and TEACHER *
Example: "Burrill - Math" or "Hirst - Science" -- Type "open" if you do not have a class this period.
PERIOD 3 SUBJECT and TEACHER *
Example: "Burrill - Math" or "Hirst - Science" -- Type "open" if you do not have a class this period.
PERIOD 4 SUBJECT and TEACHER *
Example: "Burrill - Math" or "Hirst - Science" -- Type "open" if you do not have a class this period.
PERIOD 5 SUBJECT and TEACHER *
Example: "Burrill - Math" or "Hirst - Science" -- Type "open" if you do not have a class this period.
PERIOD 6 SUBJECT and TEACHER *
Example: "Burrill - Math" or "Hirst - Science" -- Type "open" if you do not have a class this period.
PERIOD 7 SUBJECT and TEACHER *
Example: "Burrill - Math" or "Hirst - Science" -- Type "open" if you do not have a class this period.
WHAT YOU'RE ALL ABOUT
When did you first come to West Ranch? What was that experience like for you? *
In your own life, whom do you most look up to, respect, and admire? What qualities does that person have that are so admirable? *
Why do you want to be part of this group? What qualities, talents, skills, and abilities do you have to offer? *
Anything else you'd like to share with Mr. Ippolito? Ideas? Questions?
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