Application

2017 Kappa Beautillion Student Application

1. Name of Applicant

2. Address

3. City

4. State

5. Zip

6. Home phone

7. Cell phone

8. Email

9. Date of Birth (mm/dd/yyyy)

10. High School

11. Classification

12. GPA

13. ACT/SAT Score (if applicable)

14. Parent/Guardian Names

15. Parent Cell Phone

16. Parent Email

17. Extracurricular Activities (please include any leadership positions held)

18. Talents/Hobbies

19. Volunteer Activities

20. Part-Time Employment

21. Potential Colleges/Universities

22. Anticipated Major/Course of Study

23. Career Aspirations

24. How Did You Hear About Us?

Requirements:
-Must be a high school student graduating in the class of 2017 or 2018
-Must demonstrate behavior befitting a gentleman
-Must complete an interview with the Beautillion Committee
-Must supplement application with a transcript at time of interview
-Must agree to attend Beautillion workshops from January to April
-Application deadline: October 14, 2016