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Grade 12 Student Citizenship Application
Note: ADLC students are not eligible for Citizenship Awards.
Grade 12 Citizenship Application Form
Date
*
Name
*
First
Last
Email
I'm a Grade 12 student at:
*
Barrhead Composite High School
R. F. Staples Secondary School
Swan Hills School
Vista Virtual School
Your application must include examples of how you meet at least three (3) of the award criteria. Select three (3) or more items from the following list.
*
For each item selected, you will be prompted to enter details of how you meet each criteria.
Demonstrates responsibility
Helps/supports others
Has a positive attitude
Displays kindness to others
Works towards goals
Listens to others
Is honest
Has the courage to do what is right
Respects others
Shows concern for others
Is dependable
Demonstrates Responsibility
*
Describe how you meet this criteria. Include specific examples.
Helps / supports others
*
Describe how you meet this criteria. Include specific examples.
Has a positive attitude
*
Describe how you meet this criteria. Include specific examples.
Displays kindness to others
*
Describe how you meet this criteria. Include specific examples.
Works towards goals
*
Describe how you meet this criteria. Include specific examples.
Listens to others
*
Describe how you meet this criteria. Include specific examples.
Is honest
*
Describe how you meet this criteria. Include specific examples.
Has the courage to do what is right
*
Describe how you meet this criteria. Include specific examples.
Respects others
*
Describe how you meet this criteria. Include specific examples.
Shows concern for others
*
Describe how you meet this criteria. Include specific examples.
Is dependable
*
Describe how you meet this criteria. Include specific examples.
Is there anything else you would like to add?
Please enter it here. You may also attach additional supporting documents below.
Supporting documents
Drop files here or
Accepted file types: jpg, png, pdf, doc, docx.
Please attach any references or supporting documents.
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Grade 12 Student Citizenship Application
