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 E-mail Address: @redlandscc.edu 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)?
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?
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]
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.
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, 2016. 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) 405.826.6693 405.422.1247 julie.flegalsmallwood@redlandscc.edu Professor Kevin Hawk Office: S104A 405.298.7204 405.422.6267 hawkk@redlandscc.edu Professor Thomas Taylor Office: SC-38 405.422.6248 thomas.taylor@redlandscc.edu Phi Theta Kappa ~ Form 1 2016