1. Reynoldsburg High School
Please print legibly your name as it is on your birth certificate and should appear on your diploma. (No Nicknames)
Last Name First Name Middle Name
Reynoldsburg High School
2017 Senior Activity Sheet
Academy: __________________________________
Who do you want to pick to receive your diploma? (Print their name)
(They MUST BE a current RHS High School Teacher/Staff Member)
Please indicate your participation in an activity(ies) by checking (X) in the appropriate activity and year. Use the following letter(s) to indicate the position held: P-President, S-Secretary, T-Treasurer, CH-Chairperson, C-Captain, M-Member.
Activities 9 10 11 12
Blood Donor
Choir
Chorale
Cyber Patriot
DECA
Eastland Performing Arts
Encoreocracy
FEA
Green Teens
Human Trafficking
Interact Club
Leo Club
Library Worker
Marching Band
Activities 9 10 11 12
National Honor Society
Office Worker
Powder Puff Player
Prelude Orchestra
Robotics Team
Rube Goldberg Participant
Senior Focus Group
Student Government
Symphonic Band
Symphony Orchestra
Theatre/Musical
Wildfire
Wind Symphony
Yearbook
Youth at the Booth
Please complete front and back of the form.

2. Community/Volunteer Activities
Last Name First Name Middle Name
Sports 9 10 11 12
Baseball
Basketball
Bowling
Cheerleader
Cross Country
Football
Golf
Sports 9 10 11 12
Soccer
Softball
Swimming
Tennis
Track & Field
Volleyball
Wrestling
Community/Volunteer Activities
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Work Experience
__________________________________________________________________________________________________________________________________________
What are your plans for after graduation?
Examples: I plan to attend The Ohio State University – majoring in Forensic Science
I plan to travel in Europe for a year, then attend college in Germany.
I am enlisting in the United States Marines.
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
This form needs to be completed and returned to your Academy Office by March 17th. Any questions, please contact Mrs. Nash or the Senior Class Advisors:
(LAHS) Mrs. Rettke
(SUHS) Mr. Underwood