Maine National Honor Society

Maine National Honor Society

Annual State Convention

March 10-11, 2011

Candidate Information Form

Each Chapter is permitted no more than one candidate.

Please type all information:

Name of Candidate: ______

School Name and Address: ______

______

Region in which your school is located: ______

Position for which candidate is running: ______

On a separate sheet please provide a brief personal profile of 150 words or less. Write it in third person, listing hobbies, interests, co-curricular activities, accomplishments, etc. Attach your profile with your name at the top. This will be read aloud upon your introduction to the convention and should not be repeated in your speech.

Please include a photo with this form.

The above-mentioned candidate agrees to abide by the rules pertaining to campaigning and speeches as listed in the pre-registration material.

______

Candidate’s Signature Chapter Advisor’s Signature

This form MUST be returned by February 18th to:

Dorothy Peters-MNHS Adviser

Mountain Valley H.S.

799 Hancock Street

Rumford, Maine 04276

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