National Honor Society Student Profile Application
Name
Grade
Ram Prep Teacher
The criteria for election to the National Honor Society are:
Scholarship
Character
Leadership
Service
You have met the standard of scholarship. The standards of character, leadership and service
will now be reviewed in a variety of ways (this packet, the WVHS faculty, the NHS faculty
selection committee).
Complete the application form provided.
• Applications must be typed
• Use only the space provided, which means you may have to prioritize what service and
activities you include.
• Write (yes, that means TYPE!) the essay.
• Make sure you and a parent read, sign and turn in the packet.
THE DEADLINE FOR TURNING IN THIS PACKET TO Ms. Chicken in room 2115 IS
3:00 PM, Friday, SEPTEMBER 12th, 2014 – NO LATE APPLICATIONS WILL BE
ACCEPTED
SIGNATURE FORM
I have read and to the best of my knowledge have completed the attached student
profile. I understand that returning this profile puts my name in consideration for
Membership but does not guarantee an invitation to become a member.
If elected to NHS, I will donate four hours of tutoring each semester plus maintain a
3.6 gpa to maintain membership. I understand that I must complete additional
service and responsibilities in order to earn honor cords.
Student signature
I have read the West Valley High School National Honor Society membership
requirements, and have read my child’s application profile. I understand that returning this
information packet does not guarantee an invitation to become a member. I understand the
guidelines for membership and the requirements for earning honor cords.
Signature of Parent/Guardian
NHS Application
Date
Page 1
8/27/2013
EXTRACURRICULAR ACTIVITIES
(Please list your principal extracurricular activities in the order of their interest to you. Include specific events and/or major
accomplishments such as musical instrument played, varsity letters earned, etc.)
Dates
Activity
Description
Positions held
ACADEMIC HONORS AND LEADERSHIP AWARDS
(Briefly describe any other scholastic distinctions or leadership honors you have won or earned beginning with ninth grade, such
as science fairs or departmental awards. Please limit your response to the space provided)
Grade
Description of Award
COMMUNITY SERVICE
(Include activities undertaken which were done on behalf of others without any material compensation to the individual
performing the service.)
Date
Activity
Organization
OTHER ACTIVITIES, HOBBIES, WORK EXPERIENCE
Dates
Description
NHS Application
Page 2
8/27/2013
Number of Hours
PERSONAL STATEMENT
This personal statement is a very important part of this application in that it helps us become acquainted with you in
ways different from courses, grades, test scores, and other objective data. It enables you to demonstrate your ability
to organize thoughts and express yourself. Use only the space provided. This essay must be typed, but it can be
single-spaced. You may erase these instructions, but do not go beyond this page. A good rule of thumb is that
you are given a page to write, so you should write a page. Appearances count—address the prompt, provide
specific examples, and edit your work.
Please address how you meet the character and leadership standards of National Honor Society that are written below.
Provide specific examples from your history as evidence that you meet and/or exceed these standards.
Leadership: Student leaders are those who are resourceful, good problem solvers, promoters of school activities, idea-contributors,
dependable, and persons who exemplify positive attitudes about life. Leadership experiences can be drawn from school or community
activities while working with or for others.
Character
The student of good character upholds principles of morality and ethics, is cooperative, demonstrates high standards of honesty and
reliability, shows courtesy, concern, and respect for others, and generally maintains a good and clean lifestyle.
My signature below indicates that all information in my application is complete, factually correct, and honestly
presented.
Signature
NHS Application
Page 3
Dat
8/27/2013