West ForsythHigh School National Honor Society Application
2016-2017
Last Name:______First Name: ______
Grade Level: ______Student Number: ______
Student Signature:______Date:______
I have read the information provided by my student and I can verify that it is true, accurate, and complete in its presentation.
Parent/Guardian Signature: ______Date:______
Parent Guardian Name:______Work/Cell Phone Number: ______
Have you ever been assigned to ISS/OSS at WestForsythHigh School? ______
Have you ever been subjected to disciplinary action at WestForsythHigh School? ______
Have you ever been convicted of an Honor Code violation at WestForsythHigh School? ______
If your answer to any of these questions is yes, please explain ______
LEADERSHIP
At least ONE POSITION is REQUIRED from school or community
Ex. officer, team manager, captain, section leader, shift manager
LEADERSHIP MUST BE DEMONSTRATED ON A CONSISTENT BASIS THROUGHOUT THE YEAR. A SPECIFIC, DETAILED DESCRIPTION IS MANDATORY.
Unlimited points allowed
Activity or Award / 9 / 10 / 11 / 12 / Specific description of position / Sponsor's name - printed / Sponsor's signature / Sponsor's telephone #CHARACTER
OUTSTANDING RECOGNITION and AWARDS
Ex. Junior Marshal, Governor’s School, Student of the Month/Year, straight A’s for one semester (not one quarter), Eagle Scout, Volunteer of the Year, coach’s award, perfect attendance, etc.
*Do not include any recognition that requires any form of payment for inclusion such as “Who’s Who”.
Unlimited points allowed
Activity or Award / 9 / 10 / 11 / 12 / Specific description of position / Sponsor's name - printed / Sponsor's signature / Sponsor's telephone #*Attach additional sheets as needed for detailed description.
SERVICE CLUBS / WEST FORSYTH ORGANIZATIONS
*includes newspaper/yearbook staffs, ROTC squads, ACE teams, fine arts productions, etc.
*These organizations must meet consistently throughout the year.
* Do not include activities required for class credit such as the dance concert.
Unlimited points allowed
Activity or Award / 9 / 10 / 11 / 12 / Specific description of position / Sponsor's name - printed / Sponsor's signature / Sponsor's telephone #WEST FORSYTH ATHLETICS
*one point for each year you completed the season
*include activities you have completed or in which you are currently participating
*also includes marching band, flag team, dance team, cheerleading, etc.
Unlimited points allowed
Activity or Award / 9 / 10 / 11 / 12 / Specific description of position / Sponsor's name - printed / Sponsor's signature / Sponsor's telephone #COMMUNITY
“These should be any activities outside of school in which you participated for the betterment of your community.” (© NHS handbook)
*Includes work experience, church-related activities, non-school related athletics, scouting, volunteer work, etc.
*Do not include any activities that you are paying to take such as dance, piano, soccer, etc.
Maximum of 10 points allowed
Activity or Award / 9 / 10 / 11 / 12 / Specific description of position / Sponsor's name - printed / Sponsor's signature / Sponsor's telephone #Essay Question:
Essay must be uploaded to turnitin.com by 11:59 p.m. on Tuesday, September 27th. Please use standard MLA guidelines: 12pt. Times New Roman, 250 word limit. Follow standard grammar and usage guidelines. Include your application number on the top of your hard copy, not your name. Staple to the back of the completed application.
“Integrity is what we do, what we say, and what we say we do.” Don Galer As you consider this statement aboutintegrity, discuss the role and purpose of an organization like the National Honor Society in our 21st century schools. Use a concrete example of integrity from your own educational experiences.
Parents may sign for a total of two activitiesper application