National Junior Honor Society
Mesa Academy for Advanced Studies
TO: National Junior Honor Society Candidates
FROM: National Junior Honor Society Faculty Committee
SUBJECT: Membership in National Junior Honor Society
Welcome! We would like to congratulate you again on your outstanding academic performance. This
is the first step in your application process to be inducted as a member of the National Junior Honor
Society. To be considered for membership, you must complete the following. Pay careful attention to
instructions and deadlines.

NJHS Resume. This must be typed or printed neatly in blue or black ink. We recommend you
make a copy of this form before you begin; you might make a mistake on the first try. We have
included a rubric on how you will be evaluated.

Letter of Recommendation. This must be a letter from an adult who knows you well. The
letter must include the person’s phone number and must be signed. This letter cannot be
written by a Mesa Academy staff member or a relative. When requesting your letter, we
recommend you ask the person to evaluate you on the five traits of NJHS: character,
scholarship, leadership, service, and citizenship.

Subjective Letter. This letter must be typed and written in business letter format. This is a
one-page letter in which you show how you currently represent the characteristics of NJHS and
how you can use these qualities to contribute to the overall success of the organization. Refer
to the rubric for criteria.

Teacher Evaluations/Teacher Signature Form. You must have three of your teachers
complete one of the teacher evaluations. Please allow your teachers time to complete this
evaluation by giving it to them as soon as possible. The last day to give evaluation forms to
teacher is Tuesday, September 7, 2010. Don’t procrastinate!!! As you give each teacher your
evaluation, ask them to initial or stamp the Teacher Signature Form verifying that they received
it.
Keep all completed application materials in the file folder you received from Ms. Nathanson or Mrs.
Peters. You will turn in all your paperwork together. Your complete file is due to Ms. Nathanson on
or before Friday, September 10, 2010. You will be given only one packet, so it is a good idea to make
copies of each page before you begin.
Make sure you follow all directions exactly and pay close attention to deadlines. No exceptions will
be made! Good luck. We wish you success in this and all your endeavors.
Ms. Nathanson – NJHS Sponsor
Mrs. Peters – NJHS Sponsor
National Junior Honor Society
Mesa Academy for Advanced Studies
STUDENT EVALUATION RUBRIC
Student Resume:
Minimum of one school activity in which you currently participate listed
5 points
Minimum of two school activities in which you plan to participate this year listed
5 points
Minimum of one community activity/club in which you participate listed
5 points
Additional activity listed in any of the three areas
5 points
Total Points Possible
20 points
Subjective Letter:
Correct business letter format is used
1 point
Explain how you currently represent the characteristics of NJHS
5 points
(1 point for each characteristic)
Explain how you can use your qualities to contribute to NJHS
5 points
Overall quality of writing
1 point
Total Points Possible
12 points
National Junior Honor Society
Mesa Academy for Advanced Studies
STUDENT RESUME
Name: ______________________________________________ Grade: _______________________
Address: __________________________________________________________________________
City: ______________________________ State: ___________ Zip Code: ____________________
Phone Number: _____________________ E-mail: _______________________________________
Please list any school activities in which you currently participate.
1. ________________________________________________________________________________
2. ________________________________________________________________________________
3. ________________________________________________________________________________
4. ________________________________________________________________________________
List any school activities in which you plan to participate this year.
1. ________________________________________________________________________________
2. ________________________________________________________________________________
3. ________________________________________________________________________________
4. ________________________________________________________________________________
List any community activities/clubs in which you participate.
1. ________________________________________________________________________________
2. ________________________________________________________________________________
3. ________________________________________________________________________________
4. ________________________________________________________________________________
National Junior Honor Society
Mesa Academy for Advanced Studies
Dear NJHS Candidate: As you give each teacher your evaluation form, ask him or her to initial the
appropriate box. This will verify they received your evaluation on time.
TEACHER SIGNATURE FORM
Class & Teacher
Date Received
Teacher Initials
National Junior Honor Society
Mesa Academy for Advanced Studies
TEACHER EVALUATION
Teacher: _____________________________________________ Period: _____________________
______________________________________ has been invited to join the Mesa Academy chapter of
the National Junior Honor Society. As membership is based on more than scholarship alone, we are
asking that you take a few moments and rate this student in each of the following five categories. The
behaviors listed below each trait are merely guidelines to help you determine if the student meets the
criteria for each one. Please use your own best judgment. Thank you for your time.
1 – Never demonstrates this quality
2 – Occasionally demonstrates this quality
3 – Usually demonstrates this quality
4 – Always demonstrates this quality
CHARACTER
Displays an understanding of right/wrong
Makes appropriate choices
Treats others with respect
1
2
3
4
SCHOLARSHIP
Displays academic effort
Appreciates value of education
Maintains high expectations of self
1
2
3
4
LEADERSHIP
Displays actions of role model
Leads by example
Promotes school activities
1
2
3
4
SERVICE
Displays willingness to help others
Assists those around them
Understands value of serving others
1
2
3
4
CITIZENZSHIP
Upholds school rules
Displays appropriate behavior
Appreciates spirit of community
1
2
3
4
Please return to Becky Nathanson or Michelle Peters by Friday, September 10, 2010.
National Junior Honor Society
Mesa Academy for Advanced Studies
TEACHER EVALUATION
Teacher: _____________________________________________ Period: _____________________
______________________________________ has been invited to join the Mesa Academy chapter of
the National Junior Honor Society. As membership is based on more than scholarship alone, we are
asking that you take a few moments and rate this student in each of the following five categories. The
behaviors listed below each trait are merely guidelines to help you determine if the student meets the
criteria for each one. Please use your own best judgment. Thank you for your time.
1 – Never demonstrates this quality
2 – Occasionally demonstrates this quality
3 – Usually demonstrates this quality
4 – Always demonstrates this quality
CHARACTER
Displays an understanding of right/wrong
Makes appropriate choices
Treats others with respect
1
2
3
4
SCHOLARSHIP
Displays academic effort
Appreciates value of education
Maintains high expectations of self
1
2
3
4
LEADERSHIP
Displays actions of role model
Leads by example
Promotes school activities
1
2
3
4
SERVICE
Displays willingness to help others
Assists those around them
Understands value of serving others
1
2
3
4
CITIZENZSHIP
Upholds school rules
Displays appropriate behavior
Appreciates spirit of community
1
2
3
4
Please return to Becky Nathanson or Michelle Peters by Friday, September 10, 2010.
National Junior Honor Society
Mesa Academy for Advanced Studies
TEACHER EVALUATION
Teacher: _____________________________________________ Period: _____________________
______________________________________ has been invited to join the Mesa Academy chapter of
the National Junior Honor Society. As membership is based on more than scholarship alone, we are
asking that you take a few moments and rate this student in each of the following five categories. The
behaviors listed below each trait are merely guidelines to help you determine if the student meets the
criteria for each one. Please use your own best judgment. Thank you for your time.
1 – Never demonstrates this quality
2 – Occasionally demonstrates this quality
3 – Usually demonstrates this quality
4 – Always demonstrates this quality
CHARACTER
Displays an understanding of right/wrong
Makes appropriate choices
Treats others with respect
1
2
3
4
SCHOLARSHIP
Displays academic effort
Appreciates value of education
Maintains high expectations of self
1
2
3
4
LEADERSHIP
Displays actions of role model
Leads by example
Promotes school activities
1
2
3
4
SERVICE
Displays willingness to help others
Assists those around them
Understands value of serving others
1
2
3
4
CITIZENZSHIP
Upholds school rules
Displays appropriate behavior
Appreciates spirit of community
1
2
3
4
Please return to Becky Nathanson or Michelle Peters by Friday, September 10, 2010.