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Student Liaison Application

2. Name

4. Address

6. City

7. State

8. Zip Code

10. Phone Number

11. Email Address

13. Gender
    -- Select One --MaleFemale

14. Grade Level this Fall

16. What clubs and/or sports are you currently involved in?

18. Why You Want to Join the Board

    Write a paragraph explaining why you want to be on the North Huntingdon Township Recreation Board.

20. Teacher Signatures

22. #1 Teacher

23. #2 Teacher

25. #3 Teacher

26. #4 Teacher

28. Instructions
    Please send the completed application, signed Student Liaison Job Description.<br> North Huntingdon Director of Parks and Recreation<br> 11279 Center Highway<br> North Huntingdon, PA 15642

    Please send the completed application, signed Student Liaison Job Description.
    North Huntingdon Director of Parks and Recreation
    11279 Center Highway
    North Huntingdon, PA 15642

30. Student Liaison Job Description
    Student Liaison Job Description (PDF)

32. Signature*

    I have read and understood the expectations set forth by the North Huntingdon Township Recreation Board.

    1. I Agree
34. Student Liaison Name

35. Date
    Date

37. North Huntingdon Recreation Board, President

38. Date
    Date

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39. Print Only

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