FACULTY COUNCIL SCORE #1: _________
SCORE #2: _________
AVG. SCORE: ___________
DUE TO THE MAIN OFFICE
BEFORE MARCH 22, 2012
3:00 P.M.
(EVHS NHS Faculty Council use only)
EASTVIEW HIGH SCHOOL - NATIONAL HONOR SOCIETY
CANDIDATE INFORMATION FORM
Name:
Grade:
CANDIDACY DECISIONS
WILL BE MAILED HOME ON
THURSDAY, APRIL 12, 2012
Phone:
Address:
Complete all sections to the best of your ability (word-process where possible). Limit answers to the space provided. Late packets will not be considered.
We have read, understand, and support the EVHS NHS candidacy materials and process. By submitting this information we verify that the candidate has NOT had
any MSHSL violations, cheating or academic integrity violations, or any chemical violations on their record. We also acknowledge that if inducted, the student
must continue to adhere to the standards which were the basis for their selection. A flagrant violation of school rules or civil laws will initiate the dismissal
process.
Signatures: Student: ________________________________________________Parent/Guardian:___________________________________________________________
Ideal 1 – Scholarship:
Cumulative GPA:
Class Rank:
/
Honors Rank (if applicable):
/
NOTE: THIS INFORMATION WILL BE VERIFIED – SUPPLYING INACCURATE INFORMATION WILL DISQUALIFY YOUR CANDIDACY.
Per.
1
Current schedule:
Teacher
Course
Current Grade
2
3
4
5
6
7
All High School HONORS/ADVANCED OR A.P.COURSES taken (or currently taking):
Course
Teacher
Course
Teacher
Signatures of two EVHS teachers who agree to verify your positive scholarship and classroom habits:
________________________________________
____________________________________
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Provide any other information you'd like the Faculty Council to know about your Scholarship:
Ideal 2 – Leadership:
List elected, appointed, or earned leadership positions held in school, community, or work activities. You should also list any conferences/seminars that
you’ve attended to help you develop your leadership. Only those positions in which you were directly responsible for directing or motivating others should be
included. We are looking for examples of substantive situations where you were responsible for organizing people toward a common goal. Please reflect
primarily on the period of time you’ve been in high school.
Title or Position
Responsibilities and/or accomplishments
Date(s)
Total number of
hours
Signature of Supervisor
Write anything else you’d like the Faculty Council to know about you regarding Leadership:
Ideal 3 – Character:
Write a short essay that illuminates an accurate description of your character. Some examples of good character: a time when you "did the right thing" in the
face of potential unpopular or negative consequences; a time when you went far above and beyond the call of a situation without expectation of reward or
recognition; a time when you were strong when it would have been easy to be weak, etc. How would others characterize you?
Being a member of an organization means commitment to involvement in the group. Eastview NHS requires a minimum of 20 documented service hours
each semester. Describe the level of involvement and commitment the Adviser and Faculty Council can expect of you.
Describe your most significant contribution to the Eastview High School community? Please do NOT talk about your participation in an activity/sport…rather,
what have you done which has made our community better…as a citizen of our community, how have you contributed? Please be specific.
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Ideal 4 – Service:
List activities where you have performed a service, for the community. DO NOT LIST ACTIVITIES OR TEAMS THAT YOU PARTICIPATE ON – LIST ONLY
ACTIVITIES WHERE YOU PERFORMED SERVICE! Please reflect primarily on the period of time you’ve been in high school
Activity/Event
Service you performed
Date(s)
Total Hrs.
Parent Signature (verifying)
Write anything else you'd like the Faculty Council to know about you and Service:
Final Questions:
All SES and PSEO students are held to the same requirements as others in our chapter. You are responsible for attending all meetings and events. We
suggest you think carefully about this commitment before completing your candidacy materials.
Do you plan to attend SES next year?
Do you plan to be a PSEO (post secondary) student next year?
Have you attended an Eastview Dialogues event this year?
If you attended an Eastview Dialogues event, please identify which event you attended and discuss what you learned at the event:
WHY do you want to be a member of Eastview’s National Honor Society?
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