YES Prep Fifth Ward
Letter Jacket Application
Student Name (first and last):______________________________________ Grade:____ ID# ___________
I request a review of my extracurricular, academic, and student records for the purpose of
determining my eligibility for a YES Prep Fifth Ward High School letter, letter jacket, or patch.
Please attach any additional patch applications or documentation that is needed to demonstrate
commitment to your activity to the back of this sheet.
Are you applying to order a Letterman Jacket? (check one) Students may receive only one letter jacket
during their high school career.
o YES
o NO, I have already ordered my letter jacket
I am applying for my letter/patch in (list ONE per application page) –
o
Athletics Team/Game Crew/Team Manager: __________________________________________
o
Visual or Performing Art:__________________________________________________________
o
Student-Led Organization:_________________________________________________________
Student Signature: _________________________________________________ Date: _____________
-------------------------------------------------------- FOR STAFF USE ONLY------------------------------------------------------Sponsor, please check yes (Y), no (N), or needs review (NR) by each commitment criteria for the applicant’s
participation in your activity __Y __N __NR Student has demonstrated 2 years’ commitment to the sport, club, or discipline
__Y __N __NR Student has remained in good standing with their sponsor and team/group
__Y __N __NR Student completed the season or duration of participation with 90% attendance
__Y __N __NR Student turned in all payment for participation fees, uniform, materials and equipment
that belongs to YES Prep Fifth Ward
__Y __N __NR Student was not suspended from any games, performances, or events due to violation
of team, club, or activity rules and regulations
__Y __N __NR Student maintained academic eligibility (passed all classes) throughout the season
__Y __N __NR Student has met specific additional commitment and/or achievement requirements outlined in the
YPFW Lettering Policy for the extracurricular activity you lead
__Y __N __NR Student has ZERO school suspensions (in or out of school) and ZERO honor code violations (DOS)
Supervisor Signature: __________________________________________ Date: ________________
Your application has been reviewed and has been APPROVED or DENIED. Date:_________________
DOS Signature: _____________________________ AD Signature: _____________________________
Please attach any documentation needed to supplement your application, such as copy of service hour
log, acceptance to show visual art, etc.
YES Prep Fifth Ward
Letter Jacket Application
Student Name (first and last):______________________________________ Grade:____ ID# ___________
I request a review of my extracurricular, academic, and student records for the purpose of
determining my eligibility for a YES Prep Fifth Ward High School letter, letter jacket, or patch.
Please attach any additional patch applications or documentation that is needed to demonstrate
commitment to your activity to the back of this sheet.
Are you applying to order a Letterman Jacket? (check one) Students may receive only one letter jacket
during their high school career.
o YES
o NO, I have already ordered my letter jacket
I am applying for my letter/patch in (list ONE per application page) –
o
Athletics Team/Game Crew/Team Manager: __________________________________________
o
Visual or Performing Art:__________________________________________________________
o
Student-Led Organization:_________________________________________________________
Student Signature: _________________________________________________ Date: _____________
-------------------------------------------------------- FOR STAFF USE ONLY------------------------------------------------------Sponsor, please check yes (Y), no (N), or needs review (NR) by each commitment criteria for the applicant’s
participation in your activity __Y __N __NR Student has demonstrated 2 years’ commitment to the sport, club, or discipline
__Y __N __NR Student has remained in good standing with their sponsor and team/group
__Y __N __NR Student completed the season or duration of participation with 90% attendance
__Y __N __NR Student turned in all payment for participation fees, uniform, materials and equipment
that belongs to YES Prep Fifth Ward
__Y __N __NR Student was not suspended from any games, performances, or events due to violation
of team, club, or activity rules and regulations
__Y __N __NR Student maintained academic eligibility (passed all classes) throughout the season
__Y __N __NR Student has met specific additional commitment and/or achievement requirements outlined in the
YPFW Lettering Policy for the extracurricular activity you lead
__Y __N __NR Student has ZERO school suspensions (in or out of school) and ZERO honor code violations (DOS)
Supervisor Signature: __________________________________________ Date: ________________
Your application has been reviewed and has been APPROVED or DENIED. Date:_________________
DOS Signature: _____________________________ AD Signature: _____________________________
Please attach any documentation needed to supplement your application, such as copy of service hour
log, acceptance to show visual art, etc.
YES Prep Fifth Ward
Letter Jacket Application
Please attach any documentation needed to supplement your application, such as copy of service hour log, acceptance
to show visual art, etc.