MU ALPHA THETA

2010-2011 Application

Name: _______________________________________________

Grade Level: _________

ID# _________________________

Email: ________________________________________________

Address: _______________________________________________

Cell Phone #: _______________________________________________

TO BE FILLED OUT FULLY BY CURRENT MATH TEACHER:

Math Course: Type (Circle One): Final Grade:

__________________________ REG HON AP IB ____________

__________________________ REG HON AP IB ____________

__________________________ REG HON AP IB ____________

__________________________ REG HON AP IB ____________

__________________________ REG HON AP IB ____________

__________________________ REG HON AP IB ____________

Teacher’s Signature:

___________________________________________________

Activities and Personal Information:

1. List all the other activities you have participated in this year. (Include clubs, officer positions, sports, internships, volunteer work, etc.)

2. How would you contribute to Mu Alpha Theta during your membership?

Teacher Recommendation Form #1 (Math Teacher)

Teacher’s Name: _________________________________________

Room # ____________

Excellent Average Poor

Responsibility

Leadership

Enthusiasm

Moral Character

Ability to Work with Others

Interest in Math

Please note any additional information that can help in our selection of this student as a member:

TEACHER SIGNATURE: ________________________________________

DATE: ________________

Teacher Recommendation Form #2 (Science Teacher)

Teacher’s Name: _________________________________________

Room # ____________

Excellent Average Poor

Responsibility

Leadership

Enthusiasm

Moral Character

Ability to Work with Others

Interest in Math

Please note any additional information that can help in our selection of this student as a member:

TEACHER SIGNATURE: ________________________________________

DATE: ________________

*Please return to Mrs. Lemus (Room 1024) by May 13, 2009.*

ATTENTION 2009-2010 SENIORS!

To be eligible to receive Cords, members must have a minimum 3.0 unweighted GPA, 15 competition hours and missing no more than two meetings.