Presidential Degree Deadline: March 25

Candidate's Name

Chapter Grade Level

Home Mailing Address___________________________________________________________

P.O. Box or Street City State ZIP

Years of Technology Education completed

Date you became a TSA member

Date received Congressional Degree

Date received Senatorial Degree

List the local TSA chapter office(s) you presently hold or have held:

Year Office(s) Held

List the date(s) in which you attended and competed at the TSA State Conference:

Year Competitive Event Placement

Briefly summarize your first presentation made and include the group's name, the date, and the location. Briefly summarize your second presentation made and include the group's name, the date, and the location.

List and describe the activities of the local TSA chapter committee on which you have served which is different from that served on for the Senatorial Degree.

List the Competitive Event in which you participated at the TSA State Conference:

Year Competitive Event

Grade Point Average (overall) Overall Technology Education GPA

Please explain why you feel you deserve this award.

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Advisor's Signature Candidate's Signature

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Chapter President High School Principal