Vail Ranch Middle School

RICHARD MERKIN ASB APPLICATION

NAME: ______

(Please Print Neatly)

Home Phone Number:______

Cell Phone Number:______

Email Address:______

If you’re serious about applying, keep these things in mind

ASB requires time, dedication, and initiative.
You must be responsible, have follow-through, be able to work well with others, and be a positive contributor.
You represent RMMS ASB at all times.

Failure to maintain the following responsibilities will result in probationary status or removal from ASB:

I understand that the responsibilities of the RMMS ASB Leadership are:

To always maintain a positive attitude and promote an environment of high expectations and respect for our school and student body.
To make policies concerning student activities to build better school spirit and participation.
To discuss and recommend solutions to problems which concern the students of RMMS.
To help raise money for the activities of the RMMS ASB.
To attend and actively participate in all ASB meetings and activities.
To be a leader that does not lie, cheat, or steal, nor tolerate those who do (in any way).
To maintainthe required GPA (and no NPs in any class).
To fully follow and promote all RMMS school-wide policies and procedures.

***PLEASE BE SURE TO STAPLE YOUR COMPLETED APPLICATION! APPLICATIONS ARE TO BE TURNED IN TO MR. WEST!***

APPLICATION INCLUDES:

A) Short-Answer Questions: Fill out the questions in this packet. Remember, other students at RMMS are applying for the same opportunity. What will make YOU different? Grammar, punctuation, and good sentence structure are important! Show you have the ability to be a student leader by being thoughtful and specific in your answers.

B) Teacher Recommendation: You must obtain two (2) teacher recommendations. At least one (1) recommendation must come from your current Language Arts, Math, Science, Social Studies, P.E, or Advisory teacher. You may choose a RMMS Staff member that knows you well to fill out the other recommendation.

C) Print out of Current Grades: A copy of last semester’s gradesmust be submitted along with this application.

D) Petition of Candidacy: Obtain at least twenty signatures from Richard Merkin Middle School students.

E) Parent Permission: I hereby give my permission for my son/daughter ______

to apply for an ASB position at RMMS. ______Date: ______

F)Student Signature: I completely understand all that is required of me if I choose to run for an ASB leadership position at RMMS.______Date: ______

RICHARD MERKIN COLLEGE-READY MIDDLE ACADEMY

Short Answer Questions

Why do you want to be an ASB student leader?
______
______
______
______
Provide a specific example of a time you showed positive leadership skills:
______
______
______
______
Describe a new activity that you would like to have at RMMS:
______
______
______
______
List one problem you feel exists at RMMS and describe a possible solution.
Problem:
______
______
Solution:______
______
______
What would you do in the following scenario? You are an ASB member at an after-school activity where someone threw food at another student. The student wasn’t physically hurt, but still left the activity because they were so embarrassed. The principal wants to know who did it. You saw the person who threw the food and he/she is your good friend.

______
______
______
______

Apart from ASB, how will you be a positive influence at RMMS this year?Be specific.

______
______
______
______

RICHARD MERKIN COLLEGE-READY MIDDLE ACADEMY

PETITION OF CANDIDACY FOR ASSOCIATED STUDENT BODY

(Candidate’s Name Printed Legibly)

Acquire twenty signatures from Richard Merkin Middle School students.

Signatures must be a diverse representation of the student population. Only the candidate is allowed to collect signatures. If anyone else besides the candidate is gathering signatures, the candidate will immediately become ineligible to run for office and/or become a member of student government/class committee.

# / Name of Student Printed Neatly / Student Signature / CURRENT Grade
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

RICHARD MERKIN College-Ready Middle School

ASB Leader Application

Current Grade, Citizenship, and Work Habits Verification Form

Teachers:

Please fill out this form to the best of your ability. If you have any comments please feel free to discuss them with this student and write a comment below. However, if you would rather email me with any confidential information, I would appreciate any information that would lead to selecting the best Ambassadors for Richard Merkin Middle School.

ASB Leader/Ambassador Applicant:______

Subject / Teacher / Current Grade / Citizen-ship / Work Habits / On a scale of 1 to 10 (10 being best, n/o being not observed), how helpful and/or compassionate is this student?
Advisory
Math
Science
Language Arts
Social Studies
Physical Ed.
Elective

Please email () with any confidential information or write comments below:
Don’t forget to put your name next to any comments!

______

RICHARD MERKIN College-Ready Middle School ASBLEADER

TEACHER RECOMMENDATION

Student Name: ______Teacher Name: ______

Subject you teach this student:______

Grade or % in Class: ______Citizenship: ______

Thank you in advance for your response and your willingness to provide an honest, confidential recommendation for the above named student.

Return form to ASB Advisor in a sealed envelope.

SCORING RUBRIC:

1 Needs Improvement 2 Average 3 Above Average 4 Superior

Score / Areas of Evaluation
Leadership Capabilities/Initiative
Responsibility/Dependability
Maturity Level
Trustworthiness (Rate with the following in mind: This student and your wallet…)
Enthusiasm/School Spirit
Attendance
Attitude—Towards Fellow Student(s)
Attitude—Towards Authority
Ability to Apply Constructive Criticism
Ability to Work Well with Others
____/40 / TOTAL (Teacher total your scores from each area)

Comments:(Any comments you share about these students will help meget to know our incoming ASB Leadership Class!)

Teacher’s Signature: ______Date: ______

RICHARD MERKIN College-Ready Middle SchoolASBLEADER