Kappa League Application

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Date of Birth *

Current Age *

High School Grade Level *

T-Shirt Size *

Number of Siblings *

Race *

Address *

Line 1

Line 2

City

State

Zip Code

Country

High School Name *

Current GPA *

Mother's Name *

First

Last

Father's Name *

First

Last

Same As Parent/Guardian *

Yes No

Mother's Phone Number *

Mother's Email *

Father's Phone Number *

Father's Email *

Youth Lives With *

Mother Father Both

List the Courses You Are Enrolled in This Year *

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

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

Most Enjoyable/Best Course *

Least Enjoyable Course *

List Your Career Interest *

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

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

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

I understand that to the Annual Dues are are due by the Induction Ceremony. *

New Kappa Leaguers: $250.00 Returning Kappa Leaguers: $100.00

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