Social Studies teacher reference: ____________________________________ email: _____________________________
Other Adult reference: ____________________________________________ email: _____________________________
Students must have a minimum of two adult sponsors who certify the student has met the criteria of scholarship, leadership,
service and citizenship. One must be a social studies teacher. The other may be a teachers, school administrator, or activity
or community service sponsors.
I understand that completing this form does not guarantee selection to Rho Kappa, and that the information presented
here is accurate.
Student Name (Printed) Date
I have read the information provided by my son/daughter on this form, and can verify that it is true, accurate, and
complete in its presentation.
To be considered for selection to Rho Kappa, this form must be HANDED to: ____________________________________
It should not be left in a mailbox nor given to another person. No late forms will be considered.