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Brooklyn Technical High School

29 Fort Greene Place, Brooklyn, NY 11217

National Honor Society


Character Scholarship Leadership Service Tolerance
 (718) 858-5150 ext. 486 www.btnhs.org 

Mr. J Kaelin
NHS Advisor

Last Name: _____________________________________

William
Cusick First Name: _____________________________________
President

OSIS #: _______________________
Katie
Freeman
Vice President Fill in ONE:
of NHS Committees

I approve of _____________________________ participating in this


Sumaya activity and understand that he/she is responsible for any loss of money,
Ibraheem candy, or other items that are considered for him/her to sell.
Vice President
of College Services
I do not approve of ___________________________ fundraising at all.
Kelsey Cheng
Secretary

Parent’s Name: ______________________________________________


Alphina Kain
Treasurer Parent’s Signature: ___________________________________________

Julia Date Signed: _______________________________


Piotrowski
Parliamentarian Notary Approval:_____________________________________________

Allison Mark
Vice President
of Computer Services

Nermin Sihly
Historian

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