National Honor Society
Menchville High School Inductee Application Packet
Directions: Fill in the electronic document below. Rows may be added by right clicking to the right of a row, and selecting “insert” then ”row below”. Rows may also be added by filling in the information and hitting the “Tab” key. Please check your work to be sure that it is free of grammatical and spelling errors
Student Name:
I. Leadership Positions
Please provide any leadership position you have held or are currently holding. A leadership positions does not necessarily mean a formal title. Please add rows as necessary
(freshman, sophomore…) / Leadership Position/Role / Activity / Organization / Supervisor/adult contact information
(name & email/phone number)
II. Service Activities
List service activities in which you have participated. These can be individual or group service projects performed either in or out of school. Generally, service activities are those that are done for or on the behalf of others for which no compensation, monetary or otherwise, has been earned. Please list the estimated number of hours you invested while performing this service, and any contact information for those who benefitted from your assistance. Please add rows as needed
(freshman, sophomore…) / Activity / Description of Service Experience
(what you did for someone else & how it helped them) / Estimated hours of Service / Contact information of Beneficiary
III. School Based Activities-
List all school based activities, not noted above, in which you have participated in school. Include clubs, teams, musical groups, etc. If your organization, or club, achieved some accolades be sure to provide them as well. Please add rows as necessary.
(freshman, sophomore…) / Activity / Accomplishment(s)
IV. Other Community Activities
List other community activities in which you have participated. Note any major accomplishments and, as necessary, a brief description for each activity. These should include any activities outside of school in which you participated for the betterment of your community. They could be religious groups, clubs sponsored outside of school, Boys or Girl Scouts, fund raising events, etc. Please do not repeat participation already listed above, and include the name of the adult supervisor of each activity. Lastly, add rows as needed.
(freshman, sophomore…) / Activity / Hours / Accomplishment(s) / description
(not all activities will require a description) / Supervising adult contact information
V. Essay.
The last induction cycle ended in April. Since then, you have begun heading into your adult life. In 500 words or less, how has this time of growth changed you for the better? If you applied in the Spring, what has changed since then that has made you a better applicant for the National Honors Society? How have you continued to make a positive impact in your community? How have you grown as a student and as a young adult? What activities are you involved in that have made and continue to make a positive impact on Menchville High School?
VI. Signatures
I understand that completing and submitting this form does not guarantee selection to the Honor Society. I attest that the information presented here is complete and accurate. If selected, I agree to abide by the standards and guidelines of the chapter and to fulfill all of my membership obligations to the best of my ability.
______
PRINTED Student name Student signature Date
I have read the information provided by my son/daughter on this form and can verify that it is true, accurate, and complete.
______
PRINTED Guardian name Guardian signature Date
Thank you for your time and effort in completing this application. The committee will convene shortly after the teacher recommendation deadline and return with their recommendations for inductees. Questions about the status of applications and induction can be directed to the NHS sponsor, Mr. Adam Lundquist, via email at . Please allow two to three weeks after the teacher deadline to allow the faulty committee time to fully consider all applicants before sending inquiries to the NHS sponsor. Thank you in advanced for your understanding.