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    GOOD Quality Men

    FRATERNITY

     

    Application Form

     

    Student Name ____________________________________ I.D. #_____________

     

    Phone (Home) _____________________  (Mobile)_________________________

     

    Address____________________________________________________________

                            Street                                                 City                 State                          Zip

     

    Grade________         GPA__________           Date of Birth____________________

     

    Email ______________________________________________________________

     

    Hobbies, Interest, Skills_______________________________________________

     

    Sports/Extracurricular Activities

     

     

    Parent/Guardian Name_______________________________________________

     

    Parent/Guardian Phone ______________________________________________

     

    Parent/Guardian Email _______________________________________________

     

    Emergency Contact Name_____________________________________________

     

    Emergency Contact Phone ____________________________________________

     

    Please list a personal reference to who we can contact.

     

    Name_________________________________________

     

    Contact________________________________________

     

     

    *Please attach a photo of yourself so we can place a face with your name.

     
    **Please attach a character reference letter. This letter should be written by someone who is not your parent or a relative.

     

    ***Please attach a minimum of one page essay on why you should be chosen to represent Clewiston Middle School as a part of the Good Quality Men (G.Q.M.) Fraternity.

     

    ****Please be advised that you will be placed through an interview process before you are informed if you have been chosen.