Adviser Recommendation Honor Society Adviser Recommendation Student Name * Student's FBLA Member Number * Student's Email Address * Student's Grade * 9 10 11 12 FBLA Chapter Name * School Name * School Address * School Address School Address School Address City City State State Zip/Postal Zip/Postal Adviser Name * Adviser Email * Principal Name * Principal Email * How many years has the applicant been a member of FBLA? * Has the applicant competed at a NYS FBLA State Leadership Conference? * Yes No If yes, list the years and events Is applicant's overall GPA 85% or above? * Yes No Is applicant currently enrolled in a business or business-related course? * Yes No FBLA Service Use the following rating scale to identify member's participation in community service: * 0 -- Does not participate in community service opportunities 1 -- Minimal participation in community service opportunities 2 -- Satisfactory participation in community service opportunities 3 -- Actively participates in community service opportunities 4 -- Outstanding participation in community service opportunities Use the following rating scale to identify member's participation in chapter activities: * 0 -- Does not participate in chapter activities 1 -- Minimal participation in chapter activities 2 -- Satisfactory participation in chapter activities 3 -- Actively participates in chapter activities 4 -- Outstanding participation in chapter activities FBLA Leadership Use the following rating scale to identify member's leadership skills. * 0 -- Does not show any leadership skills 1 -- Negative and/or sometimes a counterproductive influence on others 2 -- Passive - only fulfills minimum requirements and has little or no influence on others 3 -- Active – serves as an example and encourages others to fulfill goals 4 -- Shows superior incentive as a group leader or officer Has the applicant held National FBLA Officer position? * Yes No Has the applicant held State FBLA Officer position? * Yes No Has the applicant held Chapter FBLA Officer position? * Yes No Has the applicant held Committee Chairperson position? * Yes No Has the applicant held NYS FBLA Council Member position? * Yes No Has the applicant held National FBLA Council Member position? * Yes No FBLA Character Use the following rating scale to identify the applicant's character: * 0 -- Shows negative character traits 1 -- Shows minimal level of positive character traits 2 -- Shows average level of positive character traits 3 -- Shows above average level of positive character traits 4 --Shows superior level of positive character traits and serves as an example to others Please feel free to add any additional information you would like to share about your member. Student Transcript Upload (as a PDF) * Drop a file here or click to upload Choose File Maximum file size: 516MB Signature Name Name First First Last Last Date Submit If you are human, leave this field blank.
