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
______9 10 11 12
______9 10 11 12
______9 10 11 12
______9 10 11 12
______9 10 11 12
______9 10 11 12
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:
______9 10 11 12
______9 10 11 12
______9 10 11 12
______9 10 11 12
______9 10 11 12
______9 10 11 12
GROUP/CLUB PRESIDENT – PLEASE LIST CLUB
______9 10 11 12
______9 10 11 12
______9 10 11 12
______9 10 11 12
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
______
______
______
______
______
Other Non-School Activities/Clubs/Groups:
______
______
______
______
______
Non-School Sports:
Fall______
______
Winter______
______
Spring______
______
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
______
______
______
______
______
10th Grade:
______
______
______
______
______
11th Grade:
______
______
______
______
______
12th Grade:
______
______
______
______
______
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 TeamAdapted 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