National Honor Society
West Morris Central High School
Chester, New Jersey
General Application
______________________________ ___________________________
Last Name
First Name
________
Middle Initial
Activities:
1. In each table, list all activities you participated in during high school.
2. Indicate each year you participated in the activity.
3. Indicate any leadership positions held. Ideally, your leadership recommendation
should be written by the advisor/coach for the activity in which you held a
leadership position.
A. School Clubs
Name of Club
Short Description of Purpose
9
10
11
12
Leadership Position
B. School Sports
Name of Sport
9
10
11
12
Leadership Position
Name: _______________________
C. Community Activities/Sports
Name of Activity
Short Description of Purpose
9
10
11
12
Leadership Position
How many hours do you spend in co-curricular activities on a weekly basis? _________
Employment
Place of Employment
Job Description
9
10
11
12
Average Hours/Week
Special Honors and Awards
Indicate any special recognition, awards, scholarships, or honors that you may have
received at the national, state, county, local or school level:
Recognition
Short Description (Include Origin of Recognition)
9
10
11
I certify that my responses are true and factual:
_______________________________________
Signature
Date
12
Name: _______________________
Personal Statements
**Please create four separate responses (of about a paragraph each) describing how you
embody the four pillars of National Honor Society. These responses must be submitted
typed along with recommendations and service documentation. See additional documents
enclosed.
Response 1: How do you embody outstanding scholarship? What have you achieved
and what is your view of scholarship? Use specific examples.
Response 2: How do you embody outstanding community service? This service can be
to any community of which you are a part. You may want to consider how your
community service contributes to West Morris Central High School. Please give specific,
organized service projects that you have been involved in. Explain what your
involvement is in light of the national chapter’s standards: “This quality is defined
through the voluntary contributions made by a student to the school or community, done
without compensation and with a positive, courteous, and enthusiastic spirit”
(www.nhs.us).
Response 3: How do you embody outstanding character? Specifically address examples
in your life where you have met the standards put forth by the national chapter: “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…maintains a good and clean lifestyle” (www.nhs.us).
Response 4: How do you embody outstanding leadership? Explain all formal and
informal positions where you have lead an organized body of people. Explain how you
meet the national chapter’s standards: “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”(www.nhs.us).
Name: _______________________
NHS LEADERSHIP RECOMMENDATION
Student: ___________________________________________________________
Your name: ________________________________________________________
Position: __________________________________________________________
Relation to student: __________________________________________________
Please evaluate the student on the following traits of leadership by circling the
correct number on a scale of 0 (low) to 5 (high). Please comment (specific examples)
on at least three out of the eight traits, but score all eight traits. NOTE: Leadership
experiences can be drawn from school or community activities while working with
or for others.
Resourceful
NA
0
1
2
3
4
5
Example:
Good Problem Solver
Example:
NA
0
1
2
3
4
5
Promoter of School
Activities
Example:
NA
0
1
2
3
4
5
Idea-Contributor
Example:
NA
0
1
2
3
4
5
Name: _______________________
Dependable
Example:
NA
0
1
2
3
4
5
Organizer
Example:
NA
0
1
2
3
4
5
Leads Other People
Example:
NA
0
1
2
3
4
5
Exemplifies Positive
attitude about Life
Example:
NA
0
1
2
3
4
5
Additional Comments:
__________________________________________
Signature
_________________
Date
Name: _______________________
NHS CHARACTER RECOMMENDATION
Student: ___________________________________________________________
Your name: ________________________________________________________
Position: __________________________________________________________
Relation to student: __________________________________________________
Please evaluate the student on the following character traits by circling the correct
number on a scale of 0 (low) to 5 (high). Please comment (specific examples) on at
least three out of the eight traits, but score all eight traits NOTE: The student of
good character upholds principles of morality and ethics.
Humility
NA
0
1
2
3
4
5
Example:
Citizenship/Maintains
a Clean Lifestyle
Example:
Cooperation
Example:
NA
NA
Honesty/Academic Integrity
Example:
0
1
0
NA
2
1
0
3
2
1
3
2
3
4
5
4
5
4
5
Name: _______________________
Reliability
Example:
NA
0
1
2
3
4
5
Courtesy
Example:
NA
0
1
2
3
4
5
4
5
4
5
Concern/Compassion
for Others
Example:
Respect for Others
Example:
NA
NA
0
0
1
1
2
2
3
3
Additional Comments:
__________________________________________
Signature
_________________
Date
Name: _______________________
NHS SERVICE RECOMMENDATION
**READ CAREFULLY BEFORE COMPLETING**
In order to qualify for membership in the National Honor Society, candidates must
demonstrate a commitment to service either in school or in the larger community.
Candidates for induction into NHS must have accumulated at least 60 hours of unpaid
volunteer service, in which at least 10 hours must be community service through or for
our school.
Document ALL service hours you have completed during high school. DO NOT STOP
AT 60. Service hours will be reviewed by the faculty council, and any activity that does
meet the standards set forth by the National Honor Society will not be accepted.
Examples of unacceptable service include, but are not limited to, any activity in which
you or your class/team directly benefits from the outcome. Some examples:



You help to raise money for your class which will be used to offset the cost of
your prom bid. This is not service.
You are an actor in the fall play and donate your time to help build sets. This is
considered a school activity, not service. Participating in the pit orchestra for the
school play is also considered an activity, not service.
Student council activities that promote school spirit are not considered service.
In addition, only twelve (12) hours per year will be awarded for participation in Relay for
Life unless there is specific documentation of hours served on a committee.
Please specify the number of hours at each activity, briefly describe the activity, and have
a supervisor sign the form attesting to your unpaid service. You may also attach separate
letters from the supervisor to vouch for your hours, but they need to be dated and need to
specify the number of hours.
Activity: _______________________________________________________________
Hours: ________________________________________________________________
Description: _____________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Supervisor’s Signature: _______________________
Title: __________________
Name: _______________________
Activity: _______________________________________________________________
Hours: ________________________________________________________________
Description: _____________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Supervisor’s Signature: _______________________
Title: __________________
Activity: _______________________________________________________________
Hours: ________________________________________________________________
Description: _____________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Supervisor’s Signature: _______________________
Title: __________________
Activity: _______________________________________________________________
Hours: ________________________________________________________________
Description: _____________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Supervisor’s Signature: _______________________
Title: __________________