National Honor Society Application
Indianola High School
The purpose of National Honor Society shall be to create
enthusiasm for scholarship, to stimulate a desire to
render service, to promote leadership, and to develop
character in the students on Indianola High School.
__________________________________________________________________
National Honor Society Application
Indianola High School
Student name: ______________________________
Date: ______________
Address: ______________________________________________________________
Parents name(s): ____________________________________________________
Phone: _______________________________________ Grade: _____________
Note: The deadline for application is Tuesday, October 16.
The responsibility of earning the status of a National Honor
Society inductee is student earned. The by-laws of the society
reflect the induction criteria. Students who violate selection
criteria would be removed from the National Honor Society.
NHS Pillars
Essay
Scholarship
Service
Character
Leadership
Selection Criteria
Statement about why the student is applying to
NHS and why they would make a good member.
3.5 Cumulative Unweighted Grade Point
Average.
Verification of 3 organizations or events that are
evidence of community or school service and a
narrative explanation of those experiences.
Verification of no Good Conduct Violations, out
of school suspensions, or no more than 1 inschool suspension during the student’s high
school career.
Verification that the student has shown
leadership in 2 or more clubs, activities, groups,
organizations, events, or teams in school,
community, or work place.
Verification defined-On this application, verification means that the
student certifies (by getting a signature) their involvement in the noted
activity or organization. The activity or organization sponsor, advisor,
or coach is able to sign and certify their participation.
Parent’s role-Parents and students are asked to sign this application
form before a student turns in their application. Students should take
the time and give the attention to ensure their application is complete
and accurate before turning it in to one of the NHS sponsors by the
deadline. A parent signature should ensure clarity, honesty, and
fullness of the student application so that the student fully represents
themselves as a candidate for the National Honor Society.
The Faculty Council serves an important role in selection of NHS
inductees. The responsibilities of the faculty council (comprised of 5
high school teachers) include:
 Verifying Service (narrative explanation) selection criteria on the
application
 Verifying Leadership (supplemental letters) selection criteria on
the application
 Consideration of Recognitions and Awards that students list as an
option part of the application process
 Voting (if there is a question) about a student’s induction- noting
that a majority vote is needed for student acceptance into NHS
 Providing feedback to students not selected into NHS as to what
areas they can improve upon related to service, character, and
leadership
The National Honor Society Sponsors have the general role and duties
of:
1. Communicating the selection process to students and parents.
2. Providing guidance and answering questions to ensure the
selection process is followed.
3. Planning for and carrying out the induction ceremony for new
NHS members.
4. Promoting the pillars of Scholarships, Service, Character, and
Leadership both within and outside the NHS society.
STUDENT ESSAY (required)
Please write a brief (2 paragraph) statement about why you are applying and why you
think you would be a good member to the National Honor Society.
SERVICE
Examples of service organizations or events include, but are
not limited to: service corps, church groups, service trips,
mission trips, 4-H, mentoring, youth coaching, community
service groups, volunteer groups, or other organizations or
events that do good for others without monetary reward.
Service
(3 most meaningful)
1. ___________________
Verification (Signature,
Title, Email, and Phone)
_________________________
(Signature & Title)
_________________________
(Email and/or Phone)
_________________________
2. ___________________
(Signature & Title)
_________________________
(Email and/or Phone)
_________________________
3. ___________________
(Signature & Title)
_________________________
(Email and/or Phone)
SERVICE ESSAY (required)
Please describe the service experiences you have had in grades 9-12 and to what
frequency (years, hours, etc.) you have participated in those experiences. In 250 words
or less describe your experiences and what you learned or gained from the experiences.
LEADERSHIP
Examples of leadership in clubs, activities, groups,
organizations, events, or teams includes, but is not limited to:
drum major, captain of a team, club president, student body
officer, leadership conference attendee, youth group leader, or
other leadership verification.
Leadership
(2 most meaningful)
1. ___________________
Verification (Signature,
Title, Email, and Phone)
_________________________
(Signature & Title)
_________________________
(Email and/or Phone)
_________________________
2. ___________________
(Signature & Title)
_________________________
(Email and/or Phone)
Note: One leadership role may be satisfied by providing a
supplemental recommendation letter from a teacher, coach, or
activity sponsor in the school, community, or work place.
RECOGNITION and AWARDS (optional)
Please list or describe any honors or recognition that you have received (Grades 9-12)
which support your bid to be selected for membership in the National Honor Society.
(250 words or less or attach a resume)
___________________________________ ____________________________________
Student
Parent/Guardian
Date Submitted (for sponsors only):