Page 1: School Activities

LEADERSHIP

Student Council9 10 11 12

National Honor Society 11 12

Rebel Senate9 10 11 12

Link Crew 11 12

Peer Helper9 10 11 12

Peer Mediation9 10 11 12

Peer Tutor 11 12

Student Congress9 10 11 12

THEATER ARTS/SPEECH/DEBATE

Debate Team9 10 11 12

Speech Team9 10 11 12

Spring Play9 10 11 12

One Act Play9 10 11 12

Musical Production9 10 11 12

Ovation9 10 11 12

SCHOOL PUBLICATIONS/YEARBOOK

Rebel Times Newspaper9 10 11 12

Rebelation Yearbook9 10 11 12

Rebel Spirit Literary Magazine9 10 11 12

VOCATIONAL

BPA 12

VICA 12

HOSA 11 12

FCCLA-HERO 10 11 12

FFA9 10 11 12

DECA 11 12

Please Read this application carefully. Circle the appropriate grade(s) to indicate participation.

SCIENCE AND MATH

Science Fair:9 10 11 12

District Medal Winner9 10 11 12

Regional Medal Winner9 10 11 12

State Medal Winner9 10 11 12

Int’l Science & Eng. Fair9 10 11 12

Science Olympiad 10 11 12

Awards 10 11 12

Math League 10 11 12

St. Cloud Math Contest9 10 11 12

Awards9 10 11 12

ACADEMIC/LEADERSHIP

Academic Letter9 10 11 12

AP Scholar Status 12

National Merit Commended 11

National Merit Semi-Finalist 12

National Merit Finalist 12

IB Diploma Candidate 12

IB Certificate 11 12

Presidential Volunteer Award9 10 11 12

Other Awards – Academic/Leadership Based

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Applicant Number: ______

BAND

NWSC All Conference/Honors9 10 11 12

MN All State 11 12

Solo & Ensemble-Superior/Excellent Rating9 10 11 12

Pep Band9 10 11 12

Jazz Band9 10 11 12

Chamber Music Ensemble9 10 11 12

Pit Orchestra for Musical9 10 11 12

Honor Band9 10

MARCHING BAND/COLOR GUARD/DRUMLINE

Spring9 10 11 12

Fall9 10 11 12

Section Leader 10 11 12

Drum Major 10 11 12

ORCHESTRA

NWSC All Conference/Honors9 10 11 12

MN All State 11 12

Solo & Ensemble-Superior/Excellent Rating9 10 11 12

Chamber Orchestra9 10 11 12

District Honors Orchestra9

Pit Orchestra for Musical9 10 11 12

Music Listening Contest Team 9 10 11 12

(Band, Orchestra & Choir included in above)

CHOIR

NWSC All Conference/Honors9 10 11 12

MN All State 11 12

Solo & Ensemble-Superior/Excellent Rating9 10 11 12

Rebelution – Vocal Jazz 10 11 12

Vive Voce9 10

Caroling Group9 10 11 12

Page 2: School Clubs, Non-School Activities, Employment & Volunteerism

CLUBS/GROUPS

Adelante9 10 11 12

Anime9 10 11 12

Archery9 10 11 12

Catalyst9 10 11 12

FCA9 10 11 12

French9 10 11 12

Future Educators9 10 11 12

IB-CAS9 10 11 12

Leo9 10 11 12

Ski & Snowboard9 10 11 12

CLUB(S) NOT LISTED:

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GROUP/CLUB PRESIDENT – PLEASE LIST CLUB

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It is our intention to continually improve and upgrade this application form. Please feel free to give your comments and/or suggestions. You may use the back of this application. Thank you.

NON-SCHOOL ACTIVITIES – SCHOOL YEAR ONLY

On-going Lessons Taken (music, dance, other) Total Hours

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Other Non-School Activities/Clubs/Groups:

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Non-School Sports:

Fall______

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Winter______

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Spring______

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SCHOOL YEAR EMPLOYMENT

Note: This DOES NOT include employment that

Is part of a school program.

9th Grade______Hours/Week______

10th Grade______Hours/Week______

11th Grade______Hours/Week______

12th Grade______Hours/Week______

Applicant Number: ______

SCHOOL YEAR VOLUNTEERISM

Note: Please include only volunteer activities that took place

during the school year. Summer volunteer activities do not count.

9th Grade: Total Hours

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10th Grade:

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11th Grade:

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12th Grade:

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Page 3: Athletics at CPHS

Applicant Number______

Activity / Participant / Manager / Captain/Co-Captain / All Conference and/or Honorable Mention / All Metro and/or Honorable Mention / All State and/or Honorable Mention / Participant in State Competition / Individual All-Academic Team
Adapted Bowling / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Adapted Floor Hockey / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Adapted Soccer / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Adapted Softball / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Alpine Skiing / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Baseball / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Basketball / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Cheerleading Comp Squad / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Cross Country Running / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Fall Cheerleading / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Fall Danceline / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Football / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Golf / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Gymnastics / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Ice Hockey / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Lacrosse / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Nordic Skiing / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Soccer / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Softball / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Strength Training / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Swimming/Diving / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Tennis / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Track & Field / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Volleyball / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Winter Cheerleading / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Winter Danceline / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Wrestling / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Other: Specify / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12 / 9 10 11 12
Intramural Participant 75% Attendance / 9 10 11 12