Fbla Application

FUTURE BUSINESS LEADERS OF AMERICA StudentApplication PLEASE PRINT Student ID Number: I

Female

Male

*Gender:

S

*T-Shirt Size:

First Name:

M

I

L

I

Last Name:

9

*Grade:

10

11

12

XXL

XL

Address: Home Phone Number: Cell Phone Number: E-mail Address: Mother's Name:

Work Phone #:

Father's Name:

Work Phone #: *Circle only one option in each category

SCHEDULE: .

.

-.

. -"-'"

.:~

.

Period

5 6 7 None

(Circle One)

5 6 7 None

(Circle One) (Circle One)

I,

, promise to attend at least 6 of the monthly FBLAmeetings in a school year, to participate in one major community service/volunteer project each semester, to participate in one fundraiser each semester, to attend one of the district and/or area leadership conferences/competitions, E. to workactivelyas a committeememberand/orchairman,

A. B. C. D.

F. to adhere to all FBLA standards, rules, and regulations during functions. STUDENT'S SIGNATURE

FBLA Membership fee--$25.00 FBLA Shirt--$10.00 Return this form (completed) along with a check for $25.00 (or $35.00 if purchasing shirt) made payable to THS for membership dues (or membership dues and shirt).

All checks must have driver's license number for identification.

It is the policy of Katy ISD not to discriminate on the basis of sex, disability, educational programs and/or activities nor in its employment.practices.

race, religion, color, or national origin in its

My signature on this document constitutes permission for my son/daughter to be photographed or videotaped during FBLA related activities. These pictures may be used in the newspaper, training exercises, school web page, publicity, program promotion, or club memory book.

PARENT SIGNATURE

DATE

STUDENT SIGNATURE

DATE

\

It is the policy of Katy ISD not to discriminate on the basis of sex, disability, race, religion, color, or national origin in its educational programs and/or activities nor in its employment.practices.