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 PERMISSION TO APPEAR ON THE BTNHS
WEBSITE
Student Name: ______________________________
William
Cusick
President
OSIS #: _______________________

Katie Address: _____________________________________________

Freeman
Vice President _____________________________________________________
of NHS Committees
Date: _________________________
Sumaya
Ibraheem
Vice President
of College Services I understand the website on which my name will appear is being developed
by Brooklyn Tech Chapter of the National Honor Society. I hereby
acknowledge that my participation which insofar as I am concerned may
Kelsey Cheng be placed on the website, duplicated and used for membership and
Secretary educational purposes by this chapter of the National Honors Society, the
NHS Organization, other NHS chapters, and other organizations interested
in finding candidates for scholarship/awards.
Alphina Kain
Treasurer

Julia Student Signature: ___________________________________________

Piotrowski
Parliamentarian

Name of Parent/ Guardian: ____________________________________

Allison Mark
Vice President
of Computer Services Signature of Parent/Guardian: _________________________________

Nermin Sihly
Historian