GOOD Quality Men
Student Name ____________________________________ I.D. #_____________
Phone (Home) _____________________ (Mobile)_________________________
Street City State Zip
Grade________ GPA__________ Date of Birth____________________
Hobbies, Interest, Skills_______________________________________________
Parent/Guardian Phone ______________________________________________
Parent/Guardian Email _______________________________________________
Emergency Contact Name_____________________________________________
Emergency Contact Phone ____________________________________________
Please list a personal reference to who we can 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.