Simley High School

SIMLEY HIGH SCHOOL

NATIONAL HONOR SOCIETYAPPLICATION

Application deadline is Thursday, March 2nd at 3 p.m.

Late applications will not be accepted.

INSTRUCTIONS:

Complete all sections to the best of your ability. Type all of your responses in the gray form fields.
Avoid listing items more than once (i.e. listing a service project under both service and leadership).
If you have questions, see Ms. DeVries is the Counseling Office.
When finished, print & staple your application. Don’t forget the signatures!
Submit complete application to Ms. DeVries in the Counseling Office.

NAME: GRADE:

EMAIL: PHONE:

SCHOLARSHIP

As a Simley NHS candidate, you must meetthe minimum GPA criteria of 3.3 and be part of our honors ranking system. Simley NHS expects you to continue to grow your positive classroom influence and to demonstrate excellent scholarship qualities after your NHS selection.Grades will be verified each trimester to ensure students are meeting scholastic requirements.

Cumulative GPA: Honors Rank: (obtain from current transcript)

Current Schedule (T2)

Per. / Course / Teacher / Most Recent Grade
1
2
3
4
5
6
7

LEADERSHIP

List elected, appointed, or earned leadership positions held in school, community, or work activities. We are looking for examples where you were responsible for organizing people toward a common goal. Some good examples of leadership would be serving as a team project organizer for scouts, church, or a school activity, or serving as a camp counselor or active captain of a team. Some not-so-useful examples of leadership would be babysitting, individual projects for scouts, church, or a school activity. Please reflect only on the period of time in which you have been in high school. We are interested in hearing about all of your leadership experiences but it is not necessary to complete each blank below.

Title or Position / Specific responsibilities, duties and/or accomplishments / Approximate number of hours

SERVICE

List the most significant service activities in which you have participated. These should be any activities in which you participated for the betterment of others, not activities or teams for which you were a member. Some good examples of service include volunteering in most any capacity, tutoring other students, working to help those less fortunate, visiting nursing homes, or "giving back" in some way to an organization. Some not-so-good examples of service would include any work you did for hire, regular household chores, babysitting, participation on a team, and self-serving projects. Please reflect only on the period of time in which you have been in high school. We are interested in hearing about all of your service activities but it is not necessary to complete each blank below.

Activity/Event / Specific service performed…what did you do? / Date(s) / Total Hrs.

CHARACTER

Write one paragraph that illustrates through specific example(s) an accurate description of your character.

Write one paragraph whichdescribes your most significant contribution to the Simley High School community. Please do NOT talk about your participation in an activity/sport; rather, what is something you have done to help make our school or community. Please be specific.

I do hereby declare that this information, to the best of my knowledge, is true, accurate, and verifiable. If accepted into the National Honor Society, I agree to follow the rules of the organization and will continue to live up to its standards.

Signature of Applicant ______Date ______

Signature of Parent ______Date ______