Phi Theta Kappa (ΦθΚ) Redlands Community College Alpha Beta Upsilon (ABY) Chapter Chapter Officer Application

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1 Phi Theta Kappa (ΦθΚ) Redlands Community College Alpha Beta Upsilon (ABY) Chapter Chapter Officer Application Contact Information: Name: Mailing Address (where you currently get US Mail): Preferred Telephone Number: If this is your cell phone?, and I DO text., and I do NOT text REDLANDS Office(s) of Interest: Please check the office(s) for which you are applying and/or are willing to accept (more than one is recommended): President ($700/Semester) Vice-President of Communication ($500/Semester) Vice-President of Leadership ($500/Semester) Vice-President of Service ($500/Semester) Vice-President of Fellowship ($500/Semester) Vice-President of Service ($500/Semester) ΦθΚ Experience: When did you join ΦθΚ? (Check One) Fall 20 Spring 20 Summer 20 Do you have experience as a chapter officer? (Check One) If yes, what office(s)?

2 Have you helped write an Honors in Action or College Project entry? (Check One) If yes, did your essay place in the Regional/International Competition? (Check One), Regional Top 5, International Top 30 Have you been recognized with an individual or team award as a Distinguished Member/Officer? (Check One), Regional Top 5, International Top 30 Indicate any ΦθΚ institute/convention trips in which you participated: (Check all applicable) ne Regional Honors Institute Regional Convention International Convention Indicate any ΦθΚ activities in which you participated: (Check all applicable) ne Nerdy Cookout and Pool Party Presented at Regional Honors Institute Founders Week Activities Ran for Chapter or Regional Officer OTHER: Other Experience/Activities: In what RCC student organizations/activities do you participate? (Check all applicable) Academic Team Agriculture Livestock Judging Agriculture Aggie Club Athletics - Basketball Athletics - Baseball Athletics Golf Art Club Library Club Mu Alpha Theta Native American Student Organization Redlands Honors Program Redlands Student Government Student Nurses Association Other Clubs/Organizations: Are you an officer in any of the above organizations?

3 In what high school activities/leadership positions, including athletics did you participate? Employment Information: Are you currentlyemployed?, Full-Time # of Hours? Where do you work?, Part-Time # of Hours? Scholarship Information: Are you currently receiving any kind of scholarship funding? (Indicate what type of scholarship [e.g., Presidential Scholarship, Athletic, Livestock Judging, OLAP, etc. AND the amount (e.g., $400/semester, full tuition waiver, etc.) in the space below]

4 Brief Essay: Phi Theta Kappa refers to its officers as Servant Leaders. On the lines below, write a few sentences to explain what this concept means to you. Please limit response to area provided.

5 Acknowledgements: The officers of ΦθΚ are expected to comply with all provisions of the current Redlands Community College Student Handbook. Handbooks are available on-line and in hardcopy. Please initial here that you understand this requirement: In order to complete this application, attach a copy of your latest transcript and e- mail, mail or hand deliver to one of the chapter advisors no later than the due time/date of 5:00 PM, April 15, You can print a copy of your unofficial transcript, which is acceptable, by logging onto RCConnect, click on Registration on the menu bar and then on Unofficial Transcript on the pop-down menu. Or, you can ask for a Counselor s Copy at the Registrar s Office. Please contact Dr. Julie Flegal-Smallwood if you have any questions. Officer Applicant Signature: Chapter Advisors: Julie Flegal-Smallwood, PhD Office: S101 (ΦθΚ Office) julie.flegalsmallwood@redlandscc.edu Professor Kevin Hawk Office: S104A hawkk@redlandscc.edu Professor Thomas Taylor Office: SC thomas.taylor@redlandscc.edu Phi Theta Kappa ~ Form

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