National Honor Society Application
Salmon High School Chapter
Election to membership in the National Honor Society represents one of the biggest
honors that can be bestowed upon a student in his/her junior or senior year. The National
Honor Society recognizes students for outstanding scholarship, leadership, service and
character. Membership in the society is indicative that the student is demonstrating and
promoting all of theses qualities, and is exerting an effort to improve conditions in the
school and community.
Membership:
Selection for membership is by the Faculty Council and is based on outstanding
scholarship, character, leadership and service. Once selected, members have the
responsibility to continue to demonstrate these qualities. Members who resign or are
dismissed are never again eligible for its benefits.
Selection of new members
1. To be eligible for membership, the student must be a member of the junior or
senior class. A student must have been in attendance at the school for the
equivalent of one semester. The faculty council in consultations with the
principal may waive this requirement.
2. A student must have earned a cumulative grade point average of 3.5 or above and
be following the honors courses pathway as described in the student handbook.
3. The candidate shall then be evaluated based on outstanding character, leadership,
and service. Candidates are to submit supporting information for the evaluation
(see attached packet).
4. The selection of members to the chapter shall be by a majority vote of the faculty
council based on the criteria detailed on the next page.
5. The chapter advisors will review the selection results with the principal before
notifying any candidates.
Information packets will not be accepted unless the following are submitted all
together in a manila envelope to Mrs. Hansen or Mrs. Lewis by Tuesday, December
2. The Faculty Council will be reviewing memberships that evening, no late
applications will be accepted.
Applications are available on the school web site, please down load and type all
submittals, do not fill in by hand.
1.
2.
3.
4.
All forms and all appropriate signatures
Typed one-page personal essay
One teacher recommendation in a sealed envelope
One self-addressed, stamped envelope
SALMON HIGH SCHOOL NATIONAL HONOR SOCIETY PACKET
Name: ____________________________________
Mailing Address: _______________________________
Phone Number: ________________________________
E-Mail: ____________________________________
Courses in which you are currently enrolled and grades that you have
1
2
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5
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7
I understand that submitting this application does not guarantee placement into the
National Honor Society at Salmon High School.
Initial here: _____
I will uphold all responsibilities of the National Honor Society. Included in these
responsibilities but not necessarily limited thereto are the following:
1) Regular attendance at meeting
2) Attendance at induction ceremonies for new members
3) Completion of both the in school and out of school community service hours
4) Participation in any school wide project(s)
5) Maintain a 3.5 or higher grade point or higher
Initial here: _____
I certify that all information given on this application is true and correct and I did not
receive aid/assistance, beyond the help of my parents, in completing this application.
Signature: ____________________________ Date: __________________________
Parent/Guardian Signature: ___________________ Date: ____________________
STUDENT ACTIVITY INFORMATION
Please type to complete all section. The information you provide will be used by the
council to aid them while deciding on your membership. You may add additional
information on another sheet of paper if you need more room to list activities or
information relating to activities.
I.
Activity
Co-curricular Activities: List all activities in which you have participated
during high school. Include clubs, teams, after school programs, etc., and
major accomplishments in each.
Dates of
Accomplishment and advisor name
participation
II.
Leadership Positions: List all elected or appointed leadership positions held
in school, community, or work activities.
Leadership Position
Dates
Activity/Organization
III.
Service
Community and Service Activities: List community and service activities in
which you have participated. These can be activities inside and outside of
school that you participated in for the betterment of your community.
Dates and hours worked
Describe what you did
IV.
Award
Recognition and Awards: List below any honors or recognitions that you
have received.
Date received
V.
Personal Essay:
In a typed essay (minimum of one page, no more than two single-spaced), give two
examples of and activity, event, or involvement that illustrates your character through
your leadership, service, or scholarship. The committee is especially interested in seeing
demonstrations of outstanding character and concrete evidence that you a have a
commitment to something outside yourself – to other people or to other causes. The
essay should be as specific as possible and should avoid generalities such as “I enjoy
helping others at school and in life”.
VI.
Teacher Recommendation: Please have a teacher complete the
recommendation on the next page and return it in a sealed envelope. This
recommendation must be included with the rest of your application.
TEACHER RECOMMENDATION
Please complete this form and return it to the student in the envelope he or she provided.
Please be sure to sign over the seal of the envelope. This recommendation will be kept
confidential, so thank you in advance for your honesty and candor.
Student Name (please print):
_______________________________________________________
Teacher Name (please print):
_____________________________________________________
List the course(s) you have taught this student and the year you taught them:
What are the first three words that come to your mind to describe this student?
________________________________________________________________________
________________________________________________________________________
Please check the appropriate box
Excellent Average
Below
Average
No Basis
Academic Integrity
Personal Integrity
Leadership in classroom
Respect for others
Respect for self
Responsibility
Motivation
Self-confidence
Caring for others
Fairness
Willingness to serve others
Class Participation
How strongly do you recommend
this student for admission into the
Salmon High chapter of the NHS?
Enthusiastically
Recommend
Recommend
Recommend
DO NOT
with Reservation Recommend
Teacher’s Signature: ________________________________________
Comments: