YES Prep Fifth Ward

Letter Jacket Application

Student Name(first and last):______Grade:____ ID# ______

Irequest a review of my extracurricular, academic, and student records for the purpose of determining my eligibility for a YES Prep Fifth Ward High School letter, letter jacket, or patch. Please attach any additional patch applications or documentation that is needed to demonstrate commitment to your activity to the back of this sheet.

Are you applying to order a Letterman Jacket? (check one) Students may receive only one letter jacket during their high school career.

Please attach any documentation needed to supplement your application, such as copy of service hour log, acceptance to show visual art, etc.

YES Prep Fifth Ward

Letter Jacket Application

  • YES
  • NO, I have already ordered my letter jacket

Please attach any documentation needed to supplement your application, such as copy of service hour log, acceptance to show visual art, etc.

YES Prep Fifth Ward

Letter Jacket Application

I am applying for my letter/patch in (listONE per application page) –

  • Athletics Team/Game Crew/Team Manager: ______
  • Visual or Performing Art:______
  • Student-Led Organization:______

Student Signature: ______Date: ______

------FOR STAFF USE ONLY------

Sponsor, please check yes (Y), no (N), or needs review (NR) by each commitment criteria for the applicant’s participation in your activity -

__Y __N __NR Student has demonstrated 2 years’ commitment to the sport, club, or discipline

__Y __N __NR Student has remained in good standing with their sponsor and team/group

__Y __N __NR Student completed the season or duration of participation with 90% attendance

__Y __N __NR Student turned in all payment for participation fees, uniform, materials and equipment thatbelongs to YES Prep Fifth Ward

__Y __N __NR Student was not suspended from any games, performances, or events due to violation of team, club, or activity rules and regulations

__Y __N __NR Student maintained academic eligibility (passed all classes) throughout the season

__Y __N __NR Student has met specific additional commitment and/or achievement requirements outlined in the YPFW Lettering Policy for the extracurricular activity you lead

__Y __N __NR Student has ZERO school suspensions (in or out of school) and ZERO honor code violations(DOS)

Please attach any documentation needed to supplement your application, such as copy of service hour log, acceptance to show visual art, etc.

YES Prep Fifth Ward

Letter Jacket Application

Supervisor Signature: ______Date: ______

Your application has been reviewed and has been APPROVED or DENIED. Date:______

DOS Signature: ______AD Signature: ______

Student Name (first and last):______Grade:____ ID# ______

I request a review of my extracurricular, academic, and student records for the purpose of determining my eligibility for a YES Prep Fifth Ward High School letter, letter jacket, or patch. Please attach any additional patch applications or documentation that is needed to demonstrate commitment to your activity to the back of this sheet.

Are you applying to order a Letterman Jacket? (check one) Students may receive only one letter jacket during their high school career.

Please attach any documentation needed to supplement your application, such as copy of service hour log, acceptance to show visual art, etc.

YES Prep Fifth Ward

Letter Jacket Application

  • YES
  • NO, I have already ordered my letter jacket

Please attach any documentation needed to supplement your application, such as copy of service hour log, acceptance to show visual art, etc.

YES Prep Fifth Ward

Letter Jacket Application

I am applying for my letter/patch in (list ONE per application page) –

  • Athletics Team/Game Crew/Team Manager: ______
  • Visual or Performing Art:______
  • Student-Led Organization:______

Student Signature: ______Date: ______

------FOR STAFF USE ONLY------

Sponsor, please check yes (Y), no (N), or needs review (NR) by each commitment criteria for the applicant’s participation in your activity -

__Y __N __NR Student has demonstrated 2 years’ commitment to the sport, club, or discipline

__Y __N __NR Student has remained in good standing with their sponsor and team/group

__Y __N __NR Student completed the season or duration of participation with 90% attendance

__Y __N __NR Student turned in all payment for participation fees, uniform, materials and equipment that belongs to YES Prep Fifth Ward

__Y __N __NR Student was not suspended from any games, performances, or events due to violation of team, club, or activity rules and regulations

__Y __N __NR Student maintained academic eligibility (passed all classes) throughout the season

__Y __N __NR Student has met specific additional commitment and/or achievement requirements outlined in the YPFW Lettering Policy for the extracurricular activity you lead

__Y __N __NR Student has ZERO school suspensions (in or out of school) and ZERO honor code violations(DOS)

Please attach any documentation needed to supplement your application, such as copy of service hour log, acceptance to show visual art, etc.

YES Prep Fifth Ward

Letter Jacket Application

Supervisor Signature: ______Date: ______

Your application has been reviewed and has been APPROVED or DENIED. Date:______

DOS Signature: ______AD Signature: ______

Please attach any documentation needed to supplement your application, such as copy of service hour log, acceptance to show visual art, etc.