Metcalfe County High

National Honor Society Candidate Application Form

2013-2014

If selected to be a member of the Metcalfe County High School National Honor Society, you are expected to:

  • Maintain a 3.5 or higher GPA
  • Successfully complete 3or more higher level classes before graduation
  • Attend the monthly meetings
  • Complete the required service hours both individual (20 hours) and group (20 hours)
  • Be responsible for maintaining the standards that are addressed in the charter by-laws

Directions:

Please complete all sections. The Application Form maybe typed or printed neatly. Do not be modest as every bit of information can be used by the NHS Faculty Council to assist with

the selection process. Completion of this form does not guarantee selection. If additional space is needed, please attach separate pages. Do not write on the back of these sheets. Applications past the deadline(August 30, 2013) will not be accepted.

  1. AdministrativeInformation

Name:______

Student ID Number:______

Address:______

Parent/Guardian Name(s):______

Student ID Number:______

  1. Scholarship

All NHS members are expected to be on track to complete the Academic requirements. Complete the chart below showing which AP/Dual Credit classes you have completed or will be enrolled in for the upcoming year.

GPA:______

Course
AP/Dual Credit / Year / Course Grade / Check if you passed AP Test
  1. Co-­Curricular/ Community Activities and Leadership Positions

Listallschool sponsored or communityactivitiesinwhichyouhaveparticipatedduringhighschool. Besure to include all clubs, teams, musical groups, etc. as well as major accomplishments and leadership positions in each.

Activity / Year (9-12) / Accomplishments / Leadership Position

Student ID Number:______

  1. ServiceActivities

List all community service activities in which you have participated. These can be service projects done with a group or individually. These are activities that are done on behalf of others (not including immediate family members) and for which you received no compensation (monetary or other). Please be sure to list the name of an adult supervisor who can verify your participation in each activity. These activities must have been completed during 2013.

Activity / Year (9-12) / Number of Hours / Adult Supervisor’s Name
  1. WorkExperience

List any job experiences that you have been or are currently involved in.

Job Location/Title / Year (9-12) / Number of hours per week

Student ID Number:______

  1. AdditionalRecognitionorAwards

List all additional recognitions or awards you have received that might support your bid to be selected for membership in the NHS.

Award / Year (9-12) / Given By
  1. Character
  • Did you miss more than 5 unexcused days of school last year?

Yes or No

  • If yes, explain reason:
  • Did you have more than 5 tardies to class or school in the last school year?

Yes or No

  • If yes, explain reason:
  • Did you have any discipline write ups in the last school year?

Yes or No

  • If yes, how many and explain reason:
  • Did you ever serve in after school detention or have ISS in the last school year?

Yes or No

  • If yes, how many times did you serve?
  1. ShortEssay(typed)

Explain why you would be a worthy candidate for NHS. Include examples of your Scholarship, Leadership, Service and Character. Discuss what you would do to encourage these four areas as a member of the NHS. The essay should be typed on a separate sheet of paper. Include your student ID in the upper right hand corner of your essay. The essay must be 1 page long and will be scored based on content and structure.

Student ID Number:______

  1. Signatures

I understand that completing this form does not guarantee selection NHS and that the information here is accurate.

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 in its presentation.

Parent Signature:______

Date:______