Austin Kappa League Application

Prospective Kappa leaguer

* Indicates required field

Name *

First

Last

Date of Birth *

Age *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Grade *

Shirt Size *

PARENT/GUARDIAN INFORMATION

Mother's Name *

First

Last

Father's Name *

First

Last

Mother's Phone # *

Father's Phone # *

Mother's Email *

Father's Email *

EMERGENCY CONTACT

Name *

First

Last

Phone Number *

Email *

Same As Parent/Guardian? *

DEMOGRAPHIC INFORMATION

Youth Lives With: *

Number of Siblings *

Race *

ACADEMICS

Untitled *

Current GPA *

List the Courses You Are Enrolled in This Year: *

List The Top 3 Colleges/Universities You Would Like to Attend: *

Most Enjoyable/Best Course: *

Least Enjoyable Course: *

List Your Career Interest? *

INTEREST LEVEL

If you are granted the opportunity to become a member of the Austin Kappa League, what are your expectations? *

Why are you interested in becoming a member of the Austin Kappa League? *

List all of the community organizations that you are involved in: *

List any school activities (varsity athletics, student government, volunteer work, etc.) that you are currently involved in: *

I understand that to the Annual Dues are are due by the Induction Ceremony, August 10. Dues are $50.00 *

I understand

Submit

Austin kappa league membership application

Prospective Kappa leaguer

PARENT/GUARDIAN INFORMATION

EMERGENCY CONTACT

DEMOGRAPHIC INFORMATION

ACADEMICS

INTEREST LEVEL

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