National Honor Society Candidate Student Information Activity Form I. Administrative Information Name _______________________________________________ Current Grade Level ______ Current Non-weighted Cumulative GPA________ Directions: Please complete ALL sections. Word process all information and submit it by the published deadline. Do not be modest. Every bit of information will be used by the faculty council to assist with the fair consideration of your candidacy during the selection process. PLEASE only include information from 9th grade to current. Completion and submission of the form does not guarantee selection. Should you have questions about this form, please contact Rita Leonard at [email protected] II. Service/Community Activities/Leadership-List service/community/leadership activities in which you have participated. These can be individual or group service projects done with a group either in or out of school or done as individuals performing service. Generally, service activities are those that are done for or on behalf of others (not including immediate family members) for which no compensation (monetary or otherwise) has been given. Please ask an adult supervisor (not parents) who can verify your participation in each activity to sign on the appropriate line, and also list the estimated number of hours you invested while performing this service. List all elected or appointed leadership positions of responsibility held in school, community, or work activities. Only those positions in which you were responsible for directing or motivating others should be included (e.g. elected officer for the student body, class, or club; committee chair person; team captain; newspaper editor; work area manager; or other community leader). Activity Grade Hours of Leadership Level(s) Service/Week Role Supervising Adult Print Name Signature of person to verify activity Include Phone # Print Signature Phone# Print Signature Phone # Print Signature Phone# Print Signature Phone# Print Signature Phone # Print Signature Phone # III. Other Student Activities/Extra-Curricular/Awards/Recognition-List all other in school and out of school activities (not noted above) in which you have participated in. Include clubs, teams, musical groups, etc., and any significant accomplishments in each that you would like the Faculty Council to be aware of. Activity/Awards/Recognition Grade Accomplishments Leadership Level(s) Role IV. Signatures I understand that completing and submitting this form does not guarantee selection to the Honor Society. I attest that the information presented here is complete and accurate. If selected, I agree to abide by the standards and guidelines of the chapter and to fulfill all of my membership obligations to the best of my ability. Student Signature Date I/we have reviewed the full Candidate Information Packet provided to us by the chapter. In addition, I/we have read the information submitted by my son/daughter on this form and can verify that it is true, accurate, and complete. Parent Signature ________________________________________ Date: ________________________ National Honor Society Essay Requirements 1. Explain why you want to be a member of the National Honor Society. 2. As a prospective member of the National Honor Society, you may be asked to decide on a National Honor Society Chapter leadership or service activity. Please explain your plan of action to help your school, community or nation. Your proposal could be a specific plan to raise money, to volunteer, to promote awareness, or any other creative solution that you have to offer. Helpful Hints: *Title your essay’s, there are two separate requirements. *Neither essay should be longer than one page. *Type your essay using 12 font and remember that computer troubles are NOT an acceptable excuse for not turning your candidate packet in on time. *Have someone you trust proofread for you. STUDENT CONDUCT POLICY—Division of Student Activities For purposes of this policy the term “association” includes the Minnesota Association of Secondary School Principals (MASSP), The Minnesota Association of Student Councils (MASC), the Minnesota Association of Honor Societies (MAHS) and the Division of Student Activities (DSA). Students are prohibited from using tobacco products, alcohol, or other mood altering drugs at any association-sponsored activity, but not limited to, workshops and conventions. In addition, student’s participation in association-sponsored activities shall abide by the rules of conduct enacted by their home district. Under all circumstances students at association-sponsored activities shall conduct themselves in an appropriate manner. Violations of the above-described rules will be reported to the student’s home school and the parents of the student. Failure to conform to the above rules may result in the following disciplinary actions: A. B. C. D. Removal from the association-sponsored activity. Removal from elected positions in association-sponsored organization; Exclusion from future participation in association activities; Other appropriate discipline. I have read, acknowledge and understand that I must adhere to the rules and regulations when participating in activities sponsored by the MASSP’s Division of Student Activities: White Bear Lake Chapter of the National Honor Society. Student Signature ___________________________________ Date _______________________ Parent Signature ____________________________________ Date ________________________ National Honor Society Candidate Packet REQUIREMENTS 1. Complete ALL sections of the National Honor Society Candidate Student Information Activity Form. Any incomplete forms may be rejected. 2. Complete the two essay questions. See specific guidelines in packet. 3. One letter of recommendation from someone OTHER than a South Campus teacher, parent, guardian, or any relative. Some examples of who to ask would be: an employer, church leader, advisor of Ambassadors, a North Campus teacher or a coach. PLEASE have this letter include the writer’s relationship to the candidate. Include this letter of recommendation with other forms. 4. Student and parent signatures on the activity form and the student conduct policy form. DUE DATE is: February 12, 2016 @ 12 noon to the Counseling Office. To access forms on line: 1. 2. 3. 4. 5. 6. Web site www.isd624.org Our Schools Tab WBLAHS-North/South Campus Student Resources General Information National Honor Society Packet White Bear Lake National Honor Society Selection Process The National Honor Society Chapter of White Bear Lake is a duly chartered and affiliated chapter of this prestigious national organization. Membership is open to those students who meet the required standards in four areas of evaluation: scholarship, leadership, service, and character. Standards for selection are established by the national office of NHS and have been revised to meet our local chapter needs. Students are selected to be members by a 5-member Faculty Council, appointed by the principal, which bestows this honor upon qualified students on behalf of the faculty of our school each February/March. Students in the 11th grade are eligible for membership. For the scholarship criterion, a student must have a non-weighted cumulative GPA of 3.33 or better on a 4.0 scale. Those students who meet this criterion are invited to complete a Student Activity Information Form that provides the Faculty Council with information regarding the candidate’s leadership and service. A history of leadership experiences and participation in school or community service is also required. To evaluate a candidate’s character, the Faculty Council uses two forms of input. First, school disciplinary records are reviewed. Second, members of the faculty are solicited for input regarding their professional reflections on a candidate’s service activities, character, and leadership. These forms and the Student Activity Information Forms are carefully reviewed by the Faculty Council to determine membership. A majority vote of the council is necessary for selection. Candidates are notified regarding selection or nonselection according to a predetermined schedule. Following notification, a banquet and formal induction ceremony is held at the school to recognize all the newly selected members. Once inducted, new members are required to maintain the same level of performance (or better) in all four criteria that led to their selection. This obligation includes regular attendance at chapter meetings held twice a month during the school year and 30 hours of service to the school and community each semester. Students or parents who have questions regarding the selection process or membership obligations can contact the chapter advisor, Ms. Rita Leonard, in room #302, e-mail [email protected] or by phone #651.773.6200, extension #2251.