2011-2012 Student Council Application - Cuthbertson High School ...

Dear Candidate: 

2011-2012 Student Council Application 

Cuthbertson High School 

APPLICATION NUMBER: ________ 

Thank you for considering a position on student council. As a student council member, you will represent 

Cuthbertson High School as a leader within the school and the community. In addition, you will be the 

“voice” of your class and will aid in making decisions regarding school events and policies. Your 

position will enable you to play an active role in organizing and executing student life activities, events, 

and service projects. In addition, you will have numerous opportunities that will strengthen your 

leadership skills. 

Please read the student application thoroughly and reflect on your present and future time commitments. 

Being a member of student council is similar to being a member of a “sports team” for an entire school 

year. You must show up for weekly (held Thursday mornings at 7:30) meetings, attend leadership 

conferences, participate in student life events and conduct service projects. Your submission of the 

student council application is a demonstration of your dedication to the council and that you agree 

to the member policies. 

In order to run for an officer position, candidates must score at least 40 points on each individual teacher 

recommendation. Representatives must score at least 30 points on each individual teacher 

recommendation. All officer candidates that meet the application requirements and are not elected will 

automatically hold a student representative position. 

To uphold the integrity of the council, each member will be held accountable for attending weekly 

meetings (see attendance policy) and participating in student council events. Depending on your position 

on council, each member will be required to attain a certain number of points (student body=150 points, 

class officers=125 points, student reps=100 points) each semester to remain on council. If for any 

reason, a member does not accumulate the required points they will be dismissed from student council for 

the remainder of the school year. 

We look forward working with you on implementing student life activities that instill pride in our school 

and exemplify the Cavalier Pride throughout the Cuthbertson community! 

Sincerely, 

Kimberly Wren 

Danielle Martin 

Student Council Advisors




APPLICATION PROCESS: 

1. Download student council application from school’s website and return 

application on time to the FRONT OFFICE by Friday, May 6 th by 3:00 p.m. 

Late Applications will not be accepted. 

2. Complete all necessary forms and return application in correct order. 

3. Attend 1 of 2 campaign meetings offered on the following dates: 

Monday, May 16 at 7:30 in room E102 (Mrs. Wren’s room) 

Tuesday, May 17 at 7:30 in room E102 (Mrs. Wren's room) 

**You must attend a campaign meeting to run for Student Council Office.** 

4. All officer candidates must PREPARE and PRESENT a 3-minute speech on May 24, 2010 on 

why they should be elected to student council. (Speech cannot exceed 3 minutes) Speeches 

must be Pre-Approved by Mrs. Wren or Mrs. Martin, student council advisors, BEFORE May 

23rd. Speeches can be sent electronically to Kimberly.wren@ucps.k12.nc.us or 

Danielle.martin@ucps.k12.nc.us for approval. 

APPLICATION CHECKLIST: 

Please submit your student council application in this order: 

1. _______ Cover sheet 

2. _______ Signed member agreement form 

3. _______ Signed attendance policy 

4. _______ Signed UCPS extracurricular guidelines 

5. _______ Essay (MUST BE TYPED) 

6. _______ Teacher evaluation forms from current teachers 

(must have 4 sealed envelopes) 

** If any component of this application is missing, incomplete, or done 

incorrectly, the applicant will not be considered for Student Council. **




Student Council Roles and Positions: 

STUDENT BODY: Student body officers will meet every Tuesday morning at 7:30 

with Student Council advisors. Student body is the essential student “voice” of 

Cuthbertson High School. Student Body will meet with all class officers once a month to 

help with class activities. 

The role of the Student Body President may include: 

a. Serving on Union County Student Council 

b. Facilitating all student council weekly meetings 

c. Assisting with school assemblies, PTSO, and Open House 

d. Attending monthly site base meetings to report student life activities 

e. Organizing and planning Freshman 

f. Planning and attending all homecoming events 

g. Plan, organize, and facilitate school’s leadership training 

The role of the Student Body Vice President may include: 

a. Assisting president with student council weekly meetings 

b. Attending monthly site base meetings if president cannot attend 

c. Organizing and planning Freshman Orientation 

d. Planning and attend all homecoming events 

e. Plan, organize, and facilitate school’s leadership training 

The role of the Student Body Secretary may include: 

a. Keeping attendance records at all student council meetings 

b. Collaborating with class secretaries on attendance of class meetings. 

c. Organizing and planning Freshman Orientation e. Planning and attending all 

homecoming events 

d. Plan, organize, and facilitate school’s leadership training 

The role of the Student Body Historian may include: 

a. Collaborating with class historians 

b. Capturing highlights of all student life activities and events. 

c. Plan, organize, and facilitate school’s leadership training 

d. Organize and Plan Freshman Orientation 

e. Plan and attend all homecoming events




CLASS OFFICERS: Class officers will collaborate with their class advisors on all 

class events and facilitate all class meetings. 

The role of the Class President may include: 

a. Facilitating monthly class meetings 

b. Meeting once a month with student body officers 

c. Participating in homecoming activities 

The role of the Class Vice President may include: 

a. Assisting Class President in conducting class meetings 

b. Meeting once a month with student body officers 

c. Participating in Homecoming activities 

The role of the Class Secretary may include: 

a. Keeping attendance records of all class meetings and class events 

b. Posting minutes of class meetings on student life board 

c. Communicating with class members 

d. Meeting once a month with student body officers 

e. Participating in homecoming activities 

The role of the Class Historian may include: 

a. Capturing highlights of all class events 

b. Collaborating with all class Historians on creating student council scrapbook 

c. Meeting once a month with student body officers 

d. Participating in homecoming events 

e. Collaborating with all Historians in updating student life bulleting board 

The role of the Student Representative may include: 

a. Attending and assisting with class events and service projects 

b. Assessing student interest and provide feedback at student council and class 

meetings 

c. Informing students of all student council and class events




Student Council Cover Sheet 

Applications must be turned into the front office by Friday, May 6, 2011 at 3:00 p.m. 

Late applications will NOT be accepted 

(Please plan ahead and if you are going to be absent on May 6, please make arrangements for 

someone to drop off the application or turn in the application BEFORE May 6, 2011) 

Name ___________________________________ Grade _________ 

Student Email: ______________________________________________ 

(Please print legibly) 

Phone Number where you can be reached: __________________________ 

Position applying for: 

*To run for Student body, you must have served at least one year on student council* 

Rising Sophomore: Rising Junior: Rising Senior: STUDENT BODY: 

_____President _____President _____President ______President 

_____Vice-Pres _____Vice-Pres _____Vice-Pres ______Vice-Pres. 

_____Secretary _____Secretary _____Secretary ______Secretary 

_____Historian _____Historian _____Historian ______Historian 

____Rep ____Rep _____Rep 

Current Class Schedule: 2 nd semester 2011 

Period Class Teacher Name: 

CURRENT GPA: ___________ 

Must have a 3.0 or higher to run for an office and a 2.5 to run for 

class representative




MEMBER AGREEMENT FORM: 

Student Initial Parent Initial 

1. I have read and comply with the student council __________ __________ 

attendance policy. I am required to attend 

Student Council meetings every Thursday 

At 7:30. I will attend “class” meetings the third 

Thursday of each month at 7:30 with my class 

advisor. 

2. I will comply with the student council __________ __________ 

“score card” and I realize I must accumulate 

the necessary points each semester for my position to 

remain on student council. 

3. I understand that I can be removed from student __________ __________ 

council if I receive out of school suspension or in 

school suspension. 

4. I understand that I can be removed from student council __________ __________ 

if I display any negative representation of 

Cuthbertson High School through misconduct. 

(i.e. inappropriate comments on Facebook, texting, etc..) 

5. If I am dismissed from Student Council I understand I must __________ __________ 

have approval from the current student council advisor and 

administration to be allowed to run for council the following 

year. 

6. I understand that membership dues are $25.00 to help pay __________ __________ 

for association fees and t-shirt costs. 

STUDENT SIGNATURE: ______________________________ DATE: ____________ 

PARENT SIGNATURE: ______________________________ DATE: ____________




ATTENDANCE POLICY AGREEMENT FORM: 

In order to promote student accountability and credibility to the 

CHS student council the following attendance policy has been 

established: 

(STUDENT must initial on the line after each statement) 

I understand that I must contact the student body secretary of my absences to student 

council meetings and all student council events. _____ 

I understand that I must contact my class secretary of my absences (hand written letter) to 

class meetings and class events. _____ 

I will provide at least 48 hours notice of an absence that I am aware of (medical 

appointments, trips, etc…) _____ 

I will provide a written explanation within 48 hours to the student body secretary why I was 

absent. _____ 

I understand that I will be dismissed from student council if I accumulate 3 unexcused 

absences. _____ 

I understand that 2 tardies equals 1 absence. _____ 

I understand that real emergencies, summons to court, tutoring, academic issues, doctor 

appointments, illnesses are all EXCUSED and do not count towards an absence. _____ 

I understand that if I am in school for first period, then I will receive an unexcused absence 

for missing a meeting. _____ 

I understand that if my absence from school is UNEXCUSED, then my absence from student 

council is unexcused. _____




UCPS EXTRACURRICULAR POLICIES: 

Extra-Curricular and Co-Curricular Activities Guidelines for Middle and High School Students 

1. Any student who is charged with a felony or a Class I misdemeanor or is petitioned for an offense that would be a felony or 

a Class I misdemeanor if committed by an adult, will be removed from all current teams and/or activities for a minimum of 

twenty (20) school days, and will remain ineligible until such time as the courts render the findings in the case. Pleas of “No 

Contest” or as part of a deferred prosecution or “Prayer for Judgment Continued” (PJC) will be considered convictions for 

purposes of these guidelines. In the case of co-curricular activities, the student will attend class and complete work related to 

the class, but cannot represent the school in any manner during an extra-curricular component of the class. If there are 

mitigating circumstances, the student may request a review of the evidence surrounding the charge by the Superintendent or 

his designee. The student is ineligible to participate in extra-curricular activities until a final decision is rendered by the 

Superintendent or his designee. 

2. Any student athlete who is convicted of a felony or is adjudicated delinquent for an offense that would be a felony if 

committed by an adult is barred from participation in interscholastic athletics for the remainder of his/her high school career 

per NCHSAA guidelines. Students involved in other extracurricular or co-curricular activities who are found guilty of a 

felony or are adjudicated delinquent for an offense that would be a felony if committed by an adult are not eligible to 

represent the school in such activities for the 

remainder of their high school careers. Students found guilty of a Class I misdemeanor or are adjudicated delinquent for an 

offense that would be a felony if committed by an adult are not eligible to participate in teams and/or activities for the 

remainder of the school year. These guidelines also apply to middle school students; however, eligibility is restored once the 

student first enters ninth grade per NCHSAA guidelines. 

3. Any student charged with a Class II or III misdemeanor or is petitioned for an offense that would be a Class II or III 

misdemeanor if committed by an adult that takes place on school grounds, during a school sponsored event, or in the course 

of representing the school will be removed from all current teams and/or activities for a minimum of twenty (20) school 

days, and will remain ineligible until such time as the courts render findings in the case. Pleas of “No Contest” or as part of 

a deferred prosecution or “Prayer for Judgment Continued” (PJC) will be considered convictions for purposes of these 

guidelines. In the case of co-curricular activities, the student will attend class and complete work related to the class, but 

cannot represent the school in any manner during an extra-curricular component of the class. If there are mitigating 

circumstances, the student may request a review of the evidence surrounding the charge by the principal. Students found 

guilty of a Class II or III misdemeanors or are adjudicated delinquent for an offense that would be a Class II or III 

misdemeanor if committed by an adult are not Extra-Curricular and Co-Curricular Activities Guidelines for Middle and 

High School Students (Page 2 of 3) 

eligible to participate in teams and/or activities for the remainder of the semester. 

4. Mitigating circumstances may include: 

a. having no history of disciplinary problems; 

b. having a significant amount of time pass since the student’s last disciplinary problem; 

c. being a passive participant or playing a minor role in the offense; 

d. reasonably believing the conduct was legal; 

e. acting under strong provocation; 

f. aiding in the discovery of another offender; 

g. making a full and truthful statement admitting guilt at an early stage in the investigation of the offense; 

h. displaying an appropriate attitude and giving respectful cooperation during the investigation and discipline process; or 

mitigating circumstances do NOT exist solely because of demonstrated prowess in a sport or activity or the potential of 

scholarships or grants in aid. 

5. A second unrelated felony or misdemeanor charge or a juvenile petition for an offense that would be a felony or 

misdemeanor if committed by an adult, will automatically result in removal from all teams and/or activities for the duration 

of the school year. 

6. Any student suspended out of school six (6) days (for a single offense) for high schools on block schedule or ten (10) days 

(for a single offense) for high schools on traditional schedule will receive a ten (10) school-day suspension from any e 

extracurricular activity. Any middle school student suspended out of school for ten (10) days for a single offense will 

receive a ten (10) school-day suspension from any extracurricular activity. Per middle school sports guidelines, a second




out-of-school suspension during the sports season will result in the student being removed from the 

team/squad for the remainder of the season. 

UCPS EXTRACURRICULAR POLICIES: continued 

Extra-Curricular and Co-Curricular Activities Guidelines for Middle and High School Students 

7. National and state organizations, school clubs, and athletic teams with rules or by-laws that prescribe stricter consequences 

for student misconduct will supercede the above guidelines. 

8. It is expected that all athletic teams will have team rules that address the off campus behavior of students/athletes regarding 

drugs and alcohol. These rules should outline consistent consequences that limit and/or prohibit participation by 

students/athletes involved in such activities. 

Extra-Curricular and Co-Curricular Activities Guidelines for Middle and High School Students (Page 3 of 3) 

9. Students who are found not guilty will be eligible for reinstatement to the team or activity immediately. Pleas of “No 

Contest” or as part of a deferred prosecution or “Prayer for Judgment Continued” (PJC) will be considered convictions for 

purposes of these guidelines, and students must serve the 20 day suspension from activities. 

10. Students involved in co-curricular activities with a required extra-curricular component, such as band, chorus, vocational 

clubs, etc., will be given alternative assignments to avoid a negative impact on their academic standing in such classes. 

11. Principals are asked to communicate and collaborate in dealing with such situations. This is especially important in charges 

and arrests involving more than one school. All schools are expected to follow these guidelines. 

12. Students charged with crimes during the summer months shall be subject to these guidelines beginning the first day of the 

school year if the charges are still pending at that point. 

13. Affected students and their parents will be informed in writing regarding all decisions and actions taken relative to these 

guidelines. 

Revised 10/22/02 



PARENTAL/STUDENT AGREEMENT FOR 

STUDENT PARTICIPATION IN UCPS EXTRACURRICULAR 

ACTIVITIES: 

I, , __________________ _______, permit my child _____________________________ 

(Name of parent) (Name of child) 

to participate in Student Council for the 2010-2011 school year. I understand that the club will 

have meetings outside of the instructional hours of the school day and may need to arrange for my 

child to be transported to or from school on days that the club meets. 

My signature below confirms that I have read and understand Union County Public Schools Extra- 

Curricular and Co-Curricular Activities Guidelines for Middle and High School Students. 

Name of Student (print name): _________________________________________ 

Grade (next year): ________ 

Parent / Guardian Signature: ______________________________________________




Student Signature: 

______________________________________________ 

Date: ______________________ 

PART ONE: ESSAY 

ESSAY QUESTION: Over the past two years, Cuthbertson High School has grown tremendously, not 

only as a school, but also as a family. What vision(s) do you have for the future of Cuthbertson High 

School. In your response, comment on both the strengths and weaknesses that you observe currently at 

our school. 

Directions: Please TYPE your response in an ESSAY format, double-spaced with a maximum of 2 

pages. Submit your essay along with your application packet in the correct order.




PART TWO: TEACHER RECOMMENDATION FORM: 

To The Applicant 

Please give this form to your 4 current Spring Semester 

teachers. Please provide them with an envelope and form to 

complete AND return to you. 

Student Name _____________________________________________________________ 

Name of Recommending Teacher ______________________________________________ 

Course(s) Taken With This Teacher ____________________________________________ 

Student Signature _________________________ Date ______________________ 

To The Teacher 

Please complete the recommendation by evaluating the candidate on the criteria located on 

the other side of this form and place in the envelope with your name signed over the seal. 

Please provide any additional comments below regarding the student’s character and leadership 

ability:





Your input is a valuable and important part of the selection process for student council. Please take your 

time and consider each criterion carefully. 

Once completed, place it in an envelope provided with your name written across the seal and return 

it to the applicant. 

Criteria: Below 

Average 

1 Academic performance 

2 Maturity and emotional stability 

3 Conduct in class 

4 Participation in class 

5 Preparation for class 

6 Leadership potential 

7 Positive relationship with peers 

8 Ability to work with others 

9 Communicates effectively 

with adults 

10 Task commitment and 

perseverance 

11 Motivated by desire to learn 

12 Exhibits creative and divergent 

thinking 

13 Academic curiosity and 

initiative 

14 Meeting deadlines and 

completing assignments timely 

15 Critical thinking and problem 

solving skills 

16 Attends school regularly 

17 Oral comprehension skills 

18 Exhibits organizational and/or 

time management skills 

Place a in the appropriate column. 

0 points 

Average 

1 point 

Above 

Average 

2 points 

Excellent 

Top 10% 

3 points




19 Honesty and Integrity 

20 Reaction to setbacks 














ability:










Average 










with adults 


perseverance 



thinking 


initiative 









0 points 

Average 

1 point 

Above 

Average 

2 points 

Excellent 

Top 10% 

3 points




















ability:










Average 










with adults 


perseverance 



thinking 


initiative 









0 points 

Average 

1 point 

Above 

Average 

2 points 

Excellent 

Top 10% 

3 points




















ability:










Average 










with adults 


perseverance 



thinking 


initiative 








0 points 

Average 

1 point 

Above 

Average 

2 points 

Excellent 

Top 10% 

3 points







20 Reaction to setbacks

2011-2012 Student Council Application - Cuthbertson High School ...

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