Higley High School Chapter

of the National Honor Society

4068 Pecos Road, Gilbert, AZ 85297

Faculty Recommendation Form

Directions: Please complete this recommendation form for applicant______. This letter will serve as a character reference and will help the Faculty Selection Committee learn more information about the applicant to see if they are a fit for NHS. Any and all comments are kept in strict confidence and will only be viewed by the selection committee.

This form must be returned by you to Ms. Rima in room 402 by Friday, March 9 .

REMEMBER TO SIGN THE RECOMMENDATION.

REVIEWER PERSONAL INFORMATION

DATE:______

NAME:______

DEPARTMENT:______

HOW DO YOU KNOW THIS STUDENT:______

HOW LONG HAVE YOU KNOWN THIS STUDENT?:______

PHONE NUMBER:(______)______

RATING OF APPLICANT

Directions: Please rate the applicant on the following characteristics. A four is exceptional and a zero is below average or poor.

Exceptional Average Poor

Honesty43210

Leadership43210

Service43210

Responsibility43210

Fairness43210

Tolerance43210

Morality43210

COMMENTS AND LETTER OF RECOMMENDATION

Directions: List any information that you feel may be important to the selection committee. Include a brief description of how you know the applicant. Also include your knowledge of the applicant’s scholarship, leadership, service, and character.

______

______

______

______

______

______

______

______

______

Signature______

2017-2018 Student Activity Information Form

Directions:Please complete all sections. DO NOT BE MODEST

NAME: ______GRADE: ______

CO-CURRICULAR ACTIVITIES

Activity / Grade(s) Participated / Major Accomplishments

LEADERSHIP POSITIONS

Leadership Position/Organization / Grade(s) Participated / Major Accomplishments

COMMUNITY SERVICE ACTIVITIES

Activity / Grade(s) Participated / Hours
Per Week / Major Accomplishments of the Service Performed / Name and Phone Number of Sponsor

WORK EXPERIENCE, RECOGNITION, AND AWARDS

Job, Recognition or Award / Grade Received / Group or Activity or
Volunteer Activity / Number of Hours

NHS Application Essay

Directions: Type your response to the following question in one cohesive essay, in length no more than two pages typed. Put your name on the top of the paper.

Topic Question: In your own words, why are “scholarship, character, service, and leadership” such important ideals to which you should aspire? (Please do not utilize dictionary definitions in your response.)

Corollary questions:

How do you hope to aspire to these ideas both as an NHS member through work at Higley as well as in your life outside of Higley NHS?

Who are some models of these attributes you can use as inspiration?

What are some of the obstacles you will face, and how do you plan on overcoming them?

ACKNOWLEDGMENT SIGNATURE

Please sign and include the following page in your application.

I understand that completing this form does not guarantee selection to NHS, and that the information presented here is accurate and will be circulated among faculty members to review.

I understand that if being accepted into NHS, I will abide by the rules of active membership and complete the necessary tasks by the approved deadlines. I understand that if I do not meet the criteria for membership, I will be removed from NHS.

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 compete in its presentation. I understand the rules and criteria for my son/daughter to follow as part of NHS and I understand the consequences that will follow if the criteria for membership are not met.

Parent/Guardian Signature______Date______

NHS Application Packet Checklist

_____Student Information Sheet

_____Typed Essay

_____Signature of Applicant and Parent/Guardian

_____Faculty Recommendation: List the person you asked for a recommendation______

COMPLETED APPLICATIONS MUST BE TURNED IN BY 2:15 PM March 9, 2018