Author: Christi

Sponsor: Audrey Rizio
arizio@y115.org

Application for Membership

Name ________________________________
Grade ______
Email ________________________________
Phone ________________________________
Parent/Guardian Name ____________________
Parent Email ___________________________

Due before Sep. 9th!

List all the visual art courses you have taken & the grade you received (include courses in which you are currently enrolled) :
List any honors you may have received for your artwork (include any art shows or exhibitions in which you have participated):
List all art activities outside of school including service projects, classes or art related jobs in which you have participated:
Explain why you want to join the National Art Honor Society. How do you see yourself contributing to the organization?
Student Signature: ___________________________________________________
Parent/Guardian Signature: ____________________________________________

Title	Teacher	School Year	Final Grade