National Honor Society
Englewood High School
APPLICATION FOR MEMBERSHIP
Presentation of the attached material is an important part of the application process for the
National Honor Society. It is expected that entries are typewritten and presented in a neat,
orderly and well thought-out manner. It is strongly suggested, that each candidate use
technological resources to produce their application portfolio ensuring that all information
requested is provided. Check each section of the portfolio before submitting::
1. _____ This signed Memo of Understanding
2. _____ Candidate essay
3. _____ Instructor/Coach recommendations (2)
4. _____ Student Activity Form, a record of student accomplishments with appropriate
signatures. Included in this section must be co-curricular activities, community
activities, work experience, leadership positions, and service activities.
5. _____ Academic History (you can get this from your counselor).
Materials must be put in a large manila envelope, with your name at upper right corner, and
submitted to an NHS Sponsor by the deadline: September 10, 2014 by end of school.
I have been informed that I am academically eligible for membership in the National Honor
Society. I offer the following information as fulfillment of the requirements necessary for
consideration.
If selected, I agree to abide by the constitution of the National Honor Society and the bylaws of the Englewood High School Chapter, to pay the $20.00 annual membership fee, and
to become involved in at least two (2) projects planned by the NHS leadership.
______________________________
Print Name
________________________________
Signature
Deadline: Wednesday, September 10, 2014 by end of school. NO EXCEPTIONS
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National Honor Society
Englewood High School
CANDIDATE’S ESSAY
Discuss the qualities that you possess that you feel make you eligible to be a member of the
National Honor Society:
The four pillars of National Honor Society are:
Character, scholarship, leadership, and service.
Write a personal essay, between 350-500 words, double-spaced, that
explains why you would be an effective NHS officer or general member. Remember
that we are seeking students who demonstrate excellence in scholarship, service,
character, and leadership. Use this essay as an opportunity to tell the NHS Faculty
Council more about yourself and why you should be chosen for the program. Ideas
may include:
My accomplishments,
My failures (and how I corrected them),
A specific time I exemplified leadership (and lessons you learned),
My understanding of the NHS motto Noblesse Oblige (the moral obligation
of those of high rank to display honorable and generous conduct) and/or,
A detailed example of how I would carry out a specific service project.
Please use this format for your typed essay: 12 point Times New Roman, doublespaced, with 1” margins.
Be sure to have your name at the upper-right hand corner of each sheet.
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National Honor Society
Englewood High School
Instructor/Coach Recommendation
Student’s Name ____________________________
Student ID # _________________
Instructor/Coach name (printed) _____________________________________________
Please check in the appropriate column the factors for which you have adequate
information for appraisal.
GOOD
FAIR
POOR
1. Social (gets along well/respect for others)
2. Task-oriented (focused on accomplishing task)
3. Enthusiastic in performing assigned tasks
4. Strives for excellence
5. Punctual and has few absences
6. Optimistic/hopeful for a good outcome
7. Demonstrates proper etiquette and manners
8. Self-respecting
9. Accepting of constructive criticism
10. Accomplished as a communicator (verbal and written)
11. Able to serve others and put his/her needs second
12. Generally, as an overall student I rate the above:
Do you recommend this applicant for the National Honor Society?
□ Yes
□ No
My comments about this applicant: ___________________________________________
________________________________________________________________________
I hereby endorse the above named student for membership in the NATIONAL HONOR
SOCIETY. I understand he/she is academically eligible and that Leadership, Service, and
Character are major determinants in the final selection.
_________________________________________
Signature
____________________
Date
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National Honor Society
Englewood High School
Instructor/Coach Recommendation
Student’s Name ____________________________
Student ID # _________________
Instructor/Coach name (printed) _____________________________________________
Please check in the appropriate column the factors for which you have adequate
information for appraisal.
GOOD
FAIR
POOR
1. Social (gets along well/respect for others)
2. Task-oriented (focused on accomplishing task)
3. Enthusiastic in performing assigned tasks
4. Strives for excellence (as opposed to doing the
minimum)
5. Punctual and has few absences
6. Optimistic/hopeful for a good outcome
7. Demonstrates proper etiquette and manners
8. Self-respecting
9. Accepting of constructive criticism
10. Accomplished as a communicator (verbal and written)
11. Able to serve others and put his/her needs second
12. Generally, as an overall student I rate the above:
Do you recommend this applicant for the National Honor Society?
□ Yes
□ No
My comments about this applicant: ___________________________________________
________________________________________________________________________
I hereby endorse the above named student for membership in the NATIONAL HONOR
SOCIETY. I understand he/she is academically eligible and that Leadership, Service, and
Character are major determinants in the final selection.
_____________________________________________
Signature
___________________________
Date
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National Honor Society
Englewood High School Chapter
STUDENT ACTIVITY FORM
Directions: Please complete all sections. Do not be modest. Every bit of information can
be used by the Faculty Council to assist with the selection process. Completion of this form
does not guarantee selection.
I.
Administrative Information:
Name: ________________________________________________________________
E-mail address: _________________________________________________________
Mailing address: ________________________________________________________
______________________________________________________________________
II.
Activity
Co-curricular activities:
List all activities in which you have participated during high school. Include
clubs, teams, musical groups, etc., and major accomplishments in each.
Year
Accomplishment
Signature of Advisor
5
III.
Community Activities:
List community activities in which you have participated and note any
major accomplishment(s) in each. These should be any activities
outside of school in which you participated for the betterment of your community.
For example: church groups, clubs sponsored outside the school, Boy or Girl
scouts, volunteer groups, or community art endeavors.
COMMUNTIY
ACTIVITY
IV.
YEAR
9 10 11 12
NO. OF
HOUR WK
MAJOR
ACCOMPLSHMENT
SIGNATURE
OF ADULT
OR SPONSOR
Work Experience:
List below any work experience(s) you have that support your bid to be selected for
membership in the National Honor Society.
JOB EXPERIENCE
YEAR
9 10 11 12
NUMBER OF HOURS
SPENT ON JOB
6
V.
Leadership Positions, Recognition, and Awards:
List all elected or appointed leadership positions held in school,
community, or work activities. List only those positions that you
were directly responsible for (directing and motivating others should be included).
For example, elected student body, class, or club officer, committee chairperson,
team captain, newspaper editor, work area manager, or community leader.
Likewise, list below any honors or recognition that you have received that supports
your bid to be selected for membership in the National Honor Society.
LEADERSHIP POSITION,
AWARDS
VI.
YEAR
9 10 11 12
ACTIVITY OR
ORGANIZATION
Service Activities:
List service activities in which you have participated. These can be service projects
done with a group either in or out of school, or done as individual projects
performing service. Generally speaking, service activities are those which are done
for or on behalf of others (not including immediate family members) for which no
compensation (monetary or other) have been given. Please list the name of an adult
supervisor who can verify your participation in each activity.
ACTIVITY
YEAR
9 10 11 12
DESCRIPTION OF DUTIES
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