Coral Springs / Parkland

Student Name*

First Last

Students Cell Phone Number*

Student Email*

School Name*

What is the name of your JSU Director?*

Grade as of August 2021*

10
11
12

What position are you running for?*

Why are you running for this position in particular?*

I would be interested in spending the Summer in Israel?*

Yes
No
Maybe

Please Visit ncsy.org/tjj

What extracurricular activities (clubs, teams etc) are you currently or planning to be involved in during the next school year?*

What are you doing this Summer?*

What leadership roles have you held in the past?*

What strengths, talents, or hobbies can you bring as a member of your Chapter board?*

What goals do you have for your Chapter board this year and what would you do to grow the Chapter?*

Why is the JSU club in your school important to you?*

We will be having a leadership day for the new board members in June (Date to be announced). Do you think you will be able to attend?*

Yes
No
I'll do my best to be there.

In order to ensure understanding and a sense of commitment to my position, I agree to enthusiastically participate in a leadership position in my Chapter.*

I agree

For Parents

In order to ensure understanding and a sense of commitment to my son’s / daughter’s position, I agree to support and encourage my child’s commitment to a leadership position on the chapter Board.

Parents Name*

First Last

Parents Email*

A copy of this form will be sent to this parent email address.

Coral Springs Chapter Elections

For Parents

In order to ensure understanding and a sense of commitment to my son’s / daughter’s position, I agree to support and encourage my child’s commitment to a leadership position on the chapter Board.

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