CONFIDENTIAL Candidate Evaluation Form
Student Name _________________________________________________ Grade ____________
Evaluator: When completing this form, please consider the candidate in comparison to what your ideal NHS member would be.
Please circle the number which best reflects your opinion of the candidate.
If you have NOT OBSERVED the candidate in this category, please circle NO.
Please provide any additional comments you feel will assist in the candidate’s character evaluation.
NO
Strongly
Disagree Agree Strongly
The candidate:
Disagree
Agree
Shows courtesy and respect for others
NO
1
2
3
4
Accepts responsibility
NO
1
2
3
4
Is determined, industrious work ethic
NO
1
2
3
4
Takes criticism willingly/graciously
NO
1
2
3
4
Cheerful, friendly, poised, stable
NO
1
2
3
4
Upholds morals and ethics
NO
1
2
3
4
Complies with rules
NO
1
2
3
4
Works to eliminate negativity
NO
1
2
3
4
Willing to do the right thing at all costs NO
1
2
3
4
Respects deadlines
NO
1
2
3
4
Honest and truthful
NO
1
2
3
4
Willing to volunteer/assist
NO
1
2
3
4
Positive role model
NO
1
2
3
4
Positive attitude
NO
1
2
3
4
Respectful to adults
NO
1
2
3
4
Respectful to peers
NO
1
2
3
4
Demonstrates maturity
NO
1
2
3
4
Show humility
NO
1
2
3
4
Is a problem solver
NO
1
2
3
4
(no cheating, lying, harassing)
What one word describes this candidate? ____________________________________________________
In what capacity do you know this candidate? ______________________Length of time known? ________
In your opinion, should this student be selected for membership in NHS?
YES
NO
__________________________________________________
____________________________
Signature
Title
__________________________________________________
____________________________
Date
Phone Number
Do not give this completed evaluation to the student directly. Please place the completed evaluation form in A SEALED
ENVELOPE. Sign the seal of the envelope and RETURN TO THE APPLICANT for submission with all other application
materials.
1
CONFIDENTIAL Candidate Evaluation Form
Student Name _________________________________________________ Grade ____________
Evaluator: When completing this form, please consider the candidate in comparison to what your ideal NHS member would be.
Please circle the number which best reflects your opinion of the candidate.
If you have NOT OBSERVED the candidate in this category, please circle NO.
Please provide any additional comments you feel will assist in the candidate’s character evaluation.
NO
Strongly
Disagree Agree Strongly
The candidate:
Disagree
Agree
Shows courtesy and respect for others
NO
1
2
3
4
Accepts responsibility
NO
1
2
3
4
Is determined, industrious work ethic
NO
1
2
3
4
Takes criticism willingly/graciously
NO
1
2
3
4
Cheerful, friendly, poised, stable
NO
1
2
3
4
Upholds morals and ethics
NO
1
2
3
4
Complies with rules
NO
1
2
3
4
Works to eliminate negativity
NO
1
2
3
4
Willing to do the right thing at all costs NO
1
2
3
4
Respects deadlines
NO
1
2
3
4
Honest and truthful
NO
1
2
3
4
Willing to volunteer/assist
NO
1
2
3
4
Positive role model
NO
1
2
3
4
Positive attitude
NO
1
2
3
4
Respectful to adults
NO
1
2
3
4
Respectful to peers
NO
1
2
3
4
Demonstrates maturity
NO
1
2
3
4
Show humility
NO
1
2
3
4
Is a problem solver
NO
1
2
3
4
(no cheating, lying, harassing)
What one word describes this candidate? ____________________________________________________
In what capacity do you know this candidate? ______________________Length of time known? ________
In your opinion, should this student be selected for membership in NHS?
YES
NO
__________________________________________________
____________________________
Signature
Title
__________________________________________________
____________________________
Date
Phone Number
Do not give this completed evaluation to the student directly. Please place the completed evaluation form in A SEALED
ENVELOPE. Sign the seal of the envelope and RETURN TO THE APPLICANT for submission with all other application
materials.
2
CONFIDENTIAL Candidate Evaluation Form
Student Name _________________________________________________ Grade ____________
Evaluator: When completing this form, please consider the candidate in comparison to what your ideal NHS member would be.
Please circle the number which best reflects your opinion of the candidate.
If you have NOT OBSERVED the candidate in this category, please circle NO.
Please provide any additional comments you feel will assist in the candidate’s character evaluation.
NO
Strongly
Disagree Agree Strongly
The candidate:
Disagree
Agree
Shows courtesy and respect for others
NO
1
2
3
4
Accepts responsibility
NO
1
2
3
4
Is determined, industrious work ethic
NO
1
2
3
4
Takes criticism willingly/graciously
NO
1
2
3
4
Cheerful, friendly, poised, stable
NO
1
2
3
4
Upholds morals and ethics
NO
1
2
3
4
Complies with rules
NO
1
2
3
4
Works to eliminate negativity
NO
1
2
3
4
Willing to do the right thing at all costs NO
1
2
3
4
Respects deadlines
NO
1
2
3
4
Honest and truthful
NO
1
2
3
4
Willing to volunteer/assist
NO
1
2
3
4
Positive role model
NO
1
2
3
4
Positive attitude
NO
1
2
3
4
Respectful to adults
NO
1
2
3
4
Respectful to peers
NO
1
2
3
4
Demonstrates maturity
NO
1
2
3
4
Show humility
NO
1
2
3
4
Is a problem solver
NO
1
2
3
4
(no cheating, lying, harassing)
What one word describes this candidate? ____________________________________________________
In what capacity do you know this candidate? ______________________Length of time known? ________
In your opinion, should this student be selected for membership in NHS?
YES
NO
__________________________________________________
____________________________
Signature
Title
__________________________________________________
____________________________
Date
Phone Number
Do not give this completed evaluation to the student directly. Please place the completed evaluation form in A SEALED
ENVELOPE. Sign the seal of the envelope and RETURN TO THE APPLICANT for submission with all other application
materials.
3