Council Rock North’s
Science National Honor Society Petition
NAME: (exactly as you wish it to appear on the certificate)
TELEPHONE: (home) (cell)
ADDRESS:
E-MAIL ADDRESS:
HOMEROOM TEACHER: ROOM # SECTION:
You have demonstrated eligibility for membership in Council Rock High School North – Science National Honor Society. Each prospective inductee will be required to show how they exemplify the attributes of Scholarship and Character prior to invitation into the society.
Scholarship is demonstrated with an overall un-weighted 3.0 GPA and an un-weighted 3.50 GPA average across all science courses. You must include a copy of your most recent report card.
Character: The student must possess the qualities of good character, which include integrity, positive behavior, cooperation, dependability and ethical behavior. He/She must have no record of cheating or intentional dishonesty, no record of skipping classes or of knowingly violating school regulations and no record of civil offenses within the community. A list of potential SNHS members will be given to each teacher. Where documented evidence violating this component exists, the candidate may not be invited to join this honor society.
The following paper work must be completed and returned to the SNHS advisor promptly.
Scholarship / Course (include level) / Name of Teacher(please print) / Grade Earned / Signature of Teacher
9th Grade
10th Grade
11th Grade
12th Grade
(enrolled) / / / /
Name of Teacher
please print
( only science or math teachers are acceptable) / Signature of Teacher
(I Can Attest to this Student’s Character) / Quick Comments
Upon completion of this form, your petition will be reviewed to ensure that the requirements for admission into the Science National Honor Society have been met. You will be informed of the outcome of your petition for membership by letter.
I ______, being aware of the rules for
membership and having read and completed this application carefully, understand that membership in the Council Rock High School North- Science National Honor Society is not permanently guaranteed. Continued membership is dependent upon my continued high standard of excellence in scholarship and character.
Student Signature Date
Parent Signature Date
THIS FORM MUST BE RETURNED TO 352 WEST BY FRIDAY MARCH 11.
**You must attach a copy of your second marking period report card for this school
year.
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