Garner Jr.

PALS
Peer Assistance Leadership & Service
APPLICATION PACKET
Jr. PALS is a full year elective course open only to 8th grade students.
NEISD Jr. PALS students are trained in peer mentoring, peer mediation, and
problem solving.
Jr. PALS students are also active in school and community
service projects.
In order to be considered as a candidate for the Jr. PALS program a student
must participate in a selection process and be a 2016-2017 Garner 8th grade
student.

Student Responsibility:

PART 1: Open to all 2016 - 2017 8th grade students.

Completed Application Packet:

Current grade check and cumulative 7th grade report card

Teacher signatures & recommendation requests delivered to teachers.
Parent signature and student agreement
Questionnaire & Project Proposal
Recent photograph of yourself attached to packet.

Due no later than March 28th, 2016, 3:30 P.M

in the

counseling office

PAL Committee Responsibility:

PART 2: Open to qualified candidates from part 1.

Teacher review:
Teachers of the applicants will be asked to complete a recommendation
form for each qualified student.

Interview panel:
You may be scheduled for an interview with a panel of NEISD teachers
and/ or staff.
Failure to meet a requirement or deadline may result in the candidates
removal from the process. Approximately 14 students will be selected for the
2016-17 school year. It is our goal that these students reflect the entire
Garner student population.

Fill out this application only if you are willing to replace one of the electives (if you did
not select PALS already on your choice sheet) you have chosen for the 2016-2017
school year and you have a desire to help others.
Questions regarding the PALS program or the selection process can be
directed to

Bianca Pitman (PAL Teacher) via bpitma@nesid.net

Thank you for your interest in the Garner PALS program!

Sincerely,
Bianca Pitman

GARNER PALS Application Packet

APPLICANTS NAME: ________________________

Gender:

male

or

female

GRADE CHECK:

Turn in a copy of your cumulative 7th grade report card stapled to the packet.
Write your class schedule and teachers names on the form below.
Ask each of your teachers to document your current average (you may look up your
accurate current average on parent portal) and then document the average on form below.
Teachers: please check and make sure a current and accurate average is documented, and
please sign form
.

SUBJECT

Current
Average

TEACHERS NAME/
TEACHER
SIGNATURE

1
2
3
4
5
6
7
8
Questionnaire
1.

List any activities/clubs/hobbies in which

you are presently involved (in and out of
school) in.
1.

4.

2.

2.

5.

3.

6.

What do you know about being in the PALS

program?

___________________________________________
___________________________________________
___________________________________________
____________________________________
3.
Two Words My Friends Would Use To
Describe Me Are
1.
2.
4.
Two Words I would use to describe
Myself are
1.
2.
5.
What has been your most memorable
experience at Garner? Why?

6.
My favorite subject in school is?
Because?

PROJECT PROPOSAL
The PALS maintain a commitment to Garner and the
community by leading and serving in many different ways.
What can you bring to the group that would open new doors
and provide new ideas for the PALS? Write out a project
proposal that would help to bring awareness to an issue,
solve a problem or bring relief/ assistance to an organization.
Think about interesting places to volunteer or events the
PALS can help support.
THIS NEEDS TO BE TYPED IN 12 pt. Times New Roman

STUDENT AGREEMENT:
If selected for the PAL program I will do my best to be a positive role
model in my school and community.
I will participate in the required training.
I will adhere to the guidelines of responsibility and confidentiality.
I will make myself available for school and community service projects.

Turn in this application only if you are willing to commit to the PAL
program and you are willing to replace one of the electives you have
chosen for 2016-2017 school year.
IF I WERE TO BE SELECTED FOR THE PAL CLASS I WOULD ELECT TO
DROP ONE ELECTIVE. PLEASE WRITE THE NAME OF THE ELECTIVE YOU
WOULD DROP. (This is if you did not already put PALS as one of your
choices)

_________________________
DATE: ________

STUDENT SIGNATURE: ______________________

PARENT / GUARDIAN SIGNATURE:

The Peer Assistance & Leadership Program (PALS) will involve

training your child to work with students needing personal and
academic assistance. Students will also be asked to participate in
school and community service projects. It may involve time outside of
the normal school day (afternoons, weekends). A PAL must be willing
and allowed to give of his/her time to the PAL serving class beyond the
normal school day at various times throughout the year. This class is a
full year elective.
My child, _______________________________, has permission to be
considered for the PAL class for the next school year; and if selected
will participate in PAL training.
DATE: __________ PARENT / GUARDIAN SIGNATURE:
__________________________