Granite Bay High School National Honor Society

Information Packet Required for Selection

Directions: Please complete all sections. Print all required attachments and submit it to Mrs. Robbins in room 923 by the deadline of Monday, September 22nd. If the form fields are not sufficient, you may attach additional information clearly labeled with the sub-section titles. Do not be modest. Every piece of information will be used by the Faculty Council to assist with the fair consideration of your candidacy during the selection process. Please limit the information given to your high school career only.

Completion and submission of this form does not guarantee selection. In order to be selected, you must demonstrate outstanding achievement in all of the following: scholarship, leadership, service, and character. You may be contacted, after your information packet is submitted, for additional information. If you have any questions regarding the completion of this packet or the selection process, please contact Mrs. Robbins.

I.  Administrative Information and Scholarship

Name Current Grade Level

Email Phone Number

In order to be eligible for selection, you must have earned a minimum of a 3.5 cumulative non-weighted GPA in all of your A-G coursework[1] taken on the Granite Bay High School campus. Please calculate your GPA using the below table and subsequent instructions.

In addition to completing this form, you must also attach an Aeries printout with all of your previous grades and overall GPA. (Note: This will not necessarily match the result of your below calculations.)

Course Title (A-G courses taken on GBHS campus only) / Letter Grade Earned (Term 1 in Left Column, Term 2 in Right Column) / GPA Value A=4, B=3, C=2, D=1, F=0 (Term 1 in Left Column, Term 2 in Right Column)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.

Sum all GPA points earned and divide by the number of grades to yield your

Cumulative Non-Weighted GPA ______

II.  Leadership Positions- List all elected or appointed leadership positions or other positions of responsibility held in school, community, or work activities. Only those positions which you were responsible for directing or motivating others should be included (e.g. elected officer for the student body, class, or club; committee chairperson; team captain; newspaper editor; work area manager; or other community leader). Please include the name of the adult responsible for supervising your leadership in each position, along with his/her contact information (either phone number or email). We will be contacting supervisors to corroborate the information given.

Leadership Position / Years Held (i.e. 2011-2012) / Activity/Organization / Supervising Adult / Supervisor’s Contact Information

III.  Service Activities- List service activities in which you have participated. These can be individual or group service projects done whether in or out of school. Generally, service activities are those that are done for or on behalf of others (not including immediate family members) for which no compensation (money or otherwise) has been given. Please include information from above again if the organization through which you led is also a service organization.

Service Activity / Organization / Year(s) of Service and Estimated Hours of Service / Supervising Adult / Supervisor’s Contact Information

IV.  Other Student Activities- List all other school-based activities (not noted above) in which you have participated in school. Include clubs, teams, musical groups, and any significant accomplishments in each.

Activity / Years Involved / Accomplishment / Supervising Adult / Supervisor’s Contact Information

V.  Other Community and Non-School Activities- List other community activities in which you have participated and note any major accomplishment in each. These should be any activities outside of school in which you participate (e.g. religious groups, clubs sponsored outside of school, Boy or Girl Scouts, community art endeavors, dance, etc.). Do not repeat participation already listed in previous sections.

Community Activity / Years Involved and Hours / Accomplishments / Supervising Adult / Supervisor’s Contact Information

VI.  Work Experience, Recognition, and Awards- Though not a specific criterion for membership, please list below any job experiences, honors, or recognition that you have received that support your candidacy for membership in the Honor Society. Work experience may be paid or volunteer, but should not be repeated if already stated above.

Job, Recognition, or Award / Year(s) and/or Hours Spent on Job or Activity / Supervising Adult / Supervisor’s Contact Information


VII.  Adult Recommendations, Character- Candidates must additionally exhibit outstanding character. More specifically, candidates must exhibit trustworthiness, respect, responsibility, fairness, caring, and citizenship.

Please ask 2 adults, 1 faculty member at GBHS and 1 other non-relative adult, to sign below testifying that you indeed demonstrate the above-mentioned traits.

Additionally, one of your previous GBHS instructors will be randomly selected by the NHS advisor and asked to attest to your character.

1.  GBHS Faculty Member

I ______(name) do testify that this NHS candidate upholds the five pillars of character: trustworthiness, respect, responsibility, fairness, caring, and citizenship.

Signature Date

2.  Other Adult (Non-relative)

I ______(name) do testify that this NHS candidate upholds the five pillars of character: trustworthiness, respect, responsibility, fairness, caring, and citizenship.

Signature Relationship Date

VIII.  Contribution- Selection for membership in the National Honor Society is a prestigious honor. Please tell us, the Faculty Council and Advisor, in a paragraph no longer than one page, what you believe you will bring and contribute to the GBHS chapter of NHS. Remember that selection is based on scholarship, leadership, service, and character. Please type this paragraph and attach it to this packet.

IX.  Signatures

I understand that completing and submitting this form does not guarantee selection to the National 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.

Student Signature Date

I have read the information provided on this form and verify that it is true, accurate, and complete.

Parent/Guardian Signature Phone Number Date

If you have any questions about this form or NHS membership, please contact Bonnie Robbins (Staff NHS Advisor).

Bonnie Robbins

(916)786-8676 ext. 5923

Room 923


Appendix A: GBHS A-G Courses

a. HISTORY/SOCIAL SCIENCE

World Studies

U.S. History

Government

***IB History of the Americas HL‐1

IB History of the Americas HL‐2

AP European History

AP Government

AP U.S. History

b. ENGLISH

CP English 9

CP English 10

Honors English 10

CP English 11

CP English 12

IB English HL‐1

IB English HL‐2

AP Language/Composition

AP Literature/Composition

c. MATHEMATICS

Algebra 1, (Algebra 1A/1B)

Algebra 2

Geometry (Geometry A/B)

Pre‐Calculus

AP Statistics

Honors Pre‐Calculus

***IB Math SL

***IB Math Studies SL

AP Calculus AB

AP Calculus BC

d. LABORATORY SCIENCE

CP Biology

***IB Biology HL‐1

IB Biology HL‐2

AP Biology

Chemistry

***IB Chemistry HL‐1

IB Chemistry HL‐2

***IB Chemistry SL

Honors Chemistry

AP Chemistry

Honors Physics

Physics

AP Physics C

***IB Physics SL

Physiology

e. LANGUAGE OTHER THAN ENGLISH

French 1, 2, 3, Honors French 4

AP French 4, IB French SL

Japanese 1, 2, 3, Honors Japanese 4

AP Japanese 4, IB Japanese SL

Spanish 1, 2, 3, Honors Spanish 4

AP Spanish 4, IB Spanish SL

f. VISUAL AND PERFORMING ARTS

Ceramics 1, 2, 3

Baritone Concert Choir

Treble Concert Choir

Treble Chamber Choir

Chamber Choir

Marching Band

Symphonic Band

Jazz Ensemble

Brass/Wind Ensemble

Percussion Ensemble

Guitar

Intermediate Guitar

Advanced Guitar

Piano Lab

Art 1

Art 2

Art 3

Art 4

Dance

Intermediate Dance

Advanced Dance

Drama

Intermediate Theatre Arts

Advanced Drama

Professional Drama

Photography

Photography 2

***IB Film SL

***IB Visual Arts HL‐1

IB Visual Arts HL‐2

IB Visual Arts SL

AP Studio Art

AP Art History

g. COLLEGE PREPARATORY ELECTIVE

English‐All courses listed under “b” plus the following:

Speech and Debate and Advanced Journalism

Advanced Mathematics – All courses beyond Algebra 2

listed under “c”

Laboratory Science – All courses listed under “d” plus the

following: CP Earth Science, Fish & Wildlife, and Sport

Science

World Language – All courses listed under “e” except French

1, Japanese 1, and Spanish 1

Social Science – All courses listed under “a” plus the

following: Economics, AP Macro‐Economics, AP Micro‐

Economics, Social Psychology, AP Psychology, IB Psychology

SL, IB Theory of Knowledge, IB World Religions SL (pending

approval), and ***IB Info Tech in the Global Society SL

Visual and Performing Arts

All courses listed under “f” except for Ceramics 1, Basic Art,

Drama, Guitar, Dance, Chamber/Concert/Madrigal Choirs,

Jazz/Percussion/Brass‐Wind Ensemble, Marching Band,

Piano Lab, Symphonic Band, and Photography

CTE

Introduction to Engineering Design (PLTW)

Civil Engineering & Architecture (PLTW)

Principles of Engineering (PLTW)

[1] See Appendix A for a list of A-G approved courses