Advisor Use Only:
Applicant Grade: ____ Applicate #:____
Cocke County High School
National Honor Society
Membership in the National Honor Society is both an honor and a responsibility.
Students selected for membership are expected to demonstrate the qualities of
scholarship, service, leadership, and character.
***As stated in the official National Honor Society Constitution, a Faculty Council selected by the
principal will vote on the candidate membership. A majority vote on a candidate will cause a
rejection or acceptance of membership.
Scholarship: (CCHS-Guidance)


Student must have a B+ average (GPA of 3.5 and above, weighted)
Students must be projected to graduate in May 2016, 2017, and 2018
Leadership: (Application)
Leadership criterion is very important. It includes offices a student has held in school or
community organizations but not limited to this alone. Leadership roles (but not necessarily
elected offices) in both school and community are considered.
The student who exercises leadership:
 Demonstrates initiative in promoting school/community activities
 Is thoroughly dependable in any position of responsibility accepted
 Exercises positive influence on peers in upholding school ideals
 Exemplifies positive attitudes
Service: (Resume’)
Service is defined as activities, which the student does with or on behalf of others without
any direct financial or material compensation to the individual performing the service.
The student who serves:
 Volunteers and provides dependable assistance and is willing to sacrifice to offer
assistance.
 Works well with others and is willing to take on difficult or inconspicuous
responsibilities.
 Cheerfully and enthusiastically renders service to the school/community
 Is willing to represent the class or school in interscholastic competition
Character: (3 Teacher Recommendations)
A person of character demonstrates the following six qualities:
Respect
Citizenship
Responsibility
Fairness
Trustworthiness
Caring
Faculty Council Votes: __________________________ Accept: ___ Reject: ___ Reason: _________
Advisor Use Only:
Applicant Grade: ____ Applicate #:____
Cocke County High School
National Honor Society
Required Documents for 2015-2016 Selection
Use blue or black ink to complete all documents and submit as a neatly stapled document
packet to Ms. Banks.
Selection Document Checklist:








1.
Candidate Application Cover Page
Resume’
GPA Verification
Candidate Application Totaled Page
Candidate Application Form
Teacher Recommendation 1
Teacher Recommendation 2
Teacher Recommendation 3
Candidate Application Form/
Candidate application must be filled out, complete with initials by sponsors, teachers,
and/or administrators. Then total up all the categories and put those on the Totaled Page.
2.
GPA Verification
Candidate must get GPA Verification page filled out and signed by their guidance counselor.
3.
Resume’
A formal typed resume is to be submitted with your selection documents, include personal
examples of leadership, scholarship, service and character.
4.
Teacher Recommendation 1, 2, & 3
Have three teachers that you have had for an entire semester complete the
recommendation form (for a total of three recommendations) and returned in a sealed
envelope with the teacher’s signature on the seal.
Faculty Council Votes: __________________________ Accept: ___ Reject: ___ Reason: _________
Advisor Use Only:
Applicant Grade: ____ Applicate #:____
Cocke County High School
National Honor Society
Candidate Application Cover Page
(This is page #1 of the completed candidate packet)
Candidate Name: ___________________________
Candidate Grade Level: __________
Date Submitted: ____________________________
Time Submitted: ______________________
*Checklist of required documents…Must be stapled in order or candidate packet will be deemed
ineligible.








Candidate Application Cover Page
Resume’
GPA Verification
Candidate Application Totaled Page
Candidate Application Form
Teacher Recommendation 1
Teacher Recommendation 2
Teacher Recommendation 3
I verify by my signature below that I have carefully reviewed the above “checklist”, organized my
documents according to the “checklist” above, and submitted stapled (left upper corner) as my
completed packet.
Student Signature: _____________________________________
Date: _________________________________________________
Faculty Council Votes: __________________________ Accept: ___ Reject: ___ Reason: _________
Advisor Use Only:
Applicant Grade: ____ Applicate #:____
Cocke County High School
National Honor Society
GPA Verification
Student Name (please print): _________________________________
Counselor Name (please print): _______________________________
Unweighted GPA: ______________
Weighted GPA: ________________
(Optional) ACT Score (if, applicable):__________
(Optional) AP Test Score(s) (if, applicable): __________
Counselor Signature: _________________________________________
Faculty Council Votes: __________________________ Accept: ___ Reject: ___ Reason: _________
Advisor Use Only:
Applicant Grade: ____ Applicate #:____
Cocke County High School
National Honor Society
Application Totals
9th Grade
10th Grade
11th Grade
Total
Academics
Athletics
Clubs
Awards
Extracurriculars
Total:
Final Total:
Faculty Council Votes: __________________________ Accept: ___ Reject: ___ Reason: _________
Advisor Use Only:
Applicant Grade: ____ Applicate #:____
Cocke County High School
National Honor Society
Application
Academics
AP Human Geography
AP US History
AP US Government
AP Calculus
AP English
AP Chemistry
AP Biology
AP Psychology
AP Music Theory
PTS
2
2
2
2
2
2
2
2
2
Dual Enrollment (Please List)
1
National Merit Finalist
National Merit Semi-Finalist
Boys/Girls State
Carson-Newman Math Team - Top Ten
Carson-Newman Math Team - Top Three
Competitive Scholarship
Governor's School
Scholar's Bowl
Underclass Award in a Subject (List Below)
9th
10th
11th
Total
2
1
1
0.5
1
1
2
1
1
Faculty Council Votes: __________________________ Accept: ___ Reject: ___ Reason: _________
Advisor Use Only:
Applicant Grade: ____ Applicate #:____
Athletics/Teams
Baseball + captain
Basketball + captain
Cheerleader + captain
Cross Country + captain
Football + captain
Golf + captain
Soccer + captain
Softball + captain
Swimming + captain
Tennis + captain
Track + captain
Volleyball + captain
Wrestling + captain
ROTC Competitive Team(s) + captain
Sports Manager/Trainer
TV Scholar Athlete of the Week
PTS
1+1
1+1
1+1
1+1
1+1
1+1
1+1
1+1
1+1
1+1
1+1
1+1
1+1
1+1
1
1
All Conference (Any Sport)
All District (Any Sport)
All Region (Any Sport)
All NE Tennessee (Any Sport)
Knoxville Prep Extra (Any Sport)
All State Honorable Mention (Any Sport)
All State (Any Sport)
0.5
0.5
1
1
1.5
1.5
2
9th
10th
11th
Total
Faculty Council Votes: __________________________ Accept: ___ Reject: ___ Reason: _________
Advisor Use Only:
Applicant Grade: ____ Applicate #:____
Clubs
1 PT for Membership 0.5 PT for Officer
BETA - Officer
BETA - Member
Clay Busters/Skeet Shooters - Officer
Clay Busters/Skeet Shooters - Member
Debate Club - Officer
Debate Club - Member
DECA - Officer
DECA - Member
FBLA - Officer
FBLA - Member
FCA - Officer
FCA - Member
FCCLA - Officer
FCCLA - Member
FFA - Officer
FFA - Member
First Priority - Officer
First Priority - Member
FTA - Officer
FTA - Member
HOSA - Officer
HOSA - Member
Key - Officer
Key - Member
Pep Club - Officer
Pep Club - Member
Preschool Club - Officer
Preschool Club - Member
Skills USA - Officer
Skills USA - Member
Ski/Snowboard - Officer
Ski/Snowboard - Member
Social Studies - Officer
Social Studies - Member
Spanish - Officer
Spanish - Member
Student Council - Executive Council
Student Council - Representative/Class Officer
TATU - Officer
TATU - Member
Teachers of Tomorrow - Officer
PTS
9th
10th
11th
Total
0.5
1
0.5
1
0.5
1
0.5
1
0.5
1
0.5
1
0.5
1
0.5
1
0.5
1
0.5
0.5
0.5
1
0.5
1
0.5
1
0.5
1
0.5
1
0.5
1
0.5
1
0.5
1
0.5
1
0.5
1
0.5
Faculty Council Votes: __________________________ Accept: ___ Reject: ___ Reason: _________
Advisor Use Only:
Applicant Grade: ____ Applicate #:____
Teachers of Tomorrow - Member
1
Awards
All East Band
All East Choir
All State Band
All State Choir
1
1
1
1
Regional Winner (Any Team/Club/ROTC - Please List)
1
State Winner (Any Team/Club/ROTC - Please List)
1
National Winner (Any Team/Club/ROTC - Please List)
1
Faculty Council Votes: __________________________ Accept: ___ Reject: ___ Reason: _________
Advisor Use Only:
Applicant Grade: ____ Applicate #:____
Extracurricular Activities
Principal's Council
Perfect Attendance
Prom Committee
Special Olympics
Homecoming Court - Football
Homecoming Court - Basketball
Homecoming Court- Baseball
Drama Play Cast
Support Personnel for Drama Production
(15 hour minimum)
Jazz Band
Pep Band
Other (Must be approved):
PTS
1
1
1
1
1
1
1
1
0.5
9th
10th
11th
Total
1
1
NA
Faculty Council Votes: __________________________ Accept: ___ Reject: ___ Reason: _________
Advisor Use Only:
Applicant Grade: ____ Applicate #:____
Faculty Council Votes: __________________________ Accept: ___ Reject: ___ Reason: _________