Application - Palos Verdes High School

Leadership Description Sheet
List the positions held with the signature of an adult who can verify your participation. Print the name before
acquiring the signature. No student signatures will be accepted. Provide phone numbers for people off this
campus. If one year you were a member without a position and then became an officer the following year,
please list the years separately. Please DO NOT list membership in CSF unless you held a position.
Service Year
(check box)
9 10 11 12
Organization Title of Role Explanation of
Responsibilities
Name of Adult
Supervisor
Signature/
Phone Number