National Honor Society Application
Name
Address
City, State, Zip
Phone
Grade
Do Not Write in This Space
Applicant Number
Faculty
Recommendation
NHS Member Grade
GPA
The National Honor Society is a national service organization that promotes scholarship,
service, leadership, and character among high school students. The Gallup High chapter of the
National Honor Society does its best to promote these things within our school and the
community. We are always in need of more members for our chapter, but membership requires
approval, and NJHS membership does not guarantee NHS membership. This is something that
has been set forth by the national organization so that individual chapters know that prospective
members do exhibit the qualities of scholarship, character, leadership, and service. One they are
turned in, applications are reviewed by a faculty council and prospective members may be
interviewed by the current members of the chapter.
While these tasks may seem daunting to some, please know that there are outlets to help
you fill out this application. The current members will be hosting pre-application workshops that
are MANDATORY for those wishing to apply. These workshops will be held from September
14, 2015 (Monday) until September 18, 2015 (Friday) both before school and after school in
room C106. The workshop should last about twenty minutes plus time for questions. The sponsor
of the Gallup High chapter of NHS is also available for students who need to schedule a separate
workshop, need some help with the essay writing and review, and listing honors, activities, and
service.
You have met the standard of scholarship. The standards of character, leadership, and
service will now be reviewed in a variety of ways. Complete the entire application form provided
so that it can be better reviewed by the current NHS members, and the faculty committee.
If the applicant fails to attend a workshop, fails to provide any of the required items, and/or fails
to submit their application on or before the due date, the application will NOT be considered
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You must write the essay. Applications that are turned in without an essay will not be
considered.
Attach a copy of your schedule to the application.
Attend a pre-application workshop and sign in. This is a MANDATORY step in the
application process.
Make sure you have a parent/guardian read, and sign this application.
The deadline to turn in this packet is SEPTEMBER 30, 2015 by 4PM. Return this packet to
room C-106 by this date and time for your application to be considered.
Updated 08/2015 1
Student Signature:
I have read and to the best of my knowledge completed the attached packet. I understand
that returning this packet completed puts my name in the running to become a member of the
Gallup High School National Honor Society chapter. I further understand that this is a
commitment that will require my time and effort beyond the school day, and I am willing and
able to make such a commitment.
Parent Signature:
I do hereby give my consent for my student to apply to join the Gallup High School
National Honor Society chapter. I understand that becoming a member of the National Honor
Society will require an extra commitment from my student, including being at school early,
staying after school, completing service projects outside of the school, and donating their time in
other ways.
Disclaimer:
This application will not be considered if the applicant does not attend a workshop or
meet with the organization’s advisor in lieu of a workshop, does not provide all the information
asked/required of them, or turns in the application beyond the due date and time which is
September 30, 2015 by 4pm. Students and parent/guardian firmly acknowledge by signing
below that the application may not be considered for any or all of the aforementioned reasons,
and will not hold any current or previous NHS chapters of Gallup High School, its current or
previous advisors, or any GHS staff person and/or administrator liable for non-consideration of
the application.
Signed,
________________________________________________________
Student
Signed,
_______________________________________________________
Parent/Guardian
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Student Activity Information Form
Please read through this form before completing all sections. (Please print!)
I.
Honor Roll/Academic Excellence- list all the times you have been recognized for your
academic achievements related to your GPA (this includes district academic awards in a
sport).
Honor
Roll
Quarters
1
2
3
Semesters
4
1st
Grade level
Sport
2nd
9
10
11
Award
12
9th
10th
11th
12th
II.
Other Honors – List all achievements and honors you have received for academic
endeavors that are NOT related to your GPA or sports (ex: Literary magazines, published
work, art shows, student of the month in a class, in-class awards, science fair, writing
contests, Foreign language achievements, Board Scholars, club awards, other
competitions, etc.)
Grade level
Honors received in:
III.
9
10
11
12
Award
Extra-curricular activities- List all activities/sports in which you have participated
during high school. Do not list academic awards here. (soccer MVP, MESA member,
Drama Club etc.) (Table continued on next page.)
Grade level
Activity
9
10
11
12
Awards/Accomplishments/
Recognition/Honors
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IV.
Leadership positions-List all elected or appointed leadership positions held in school,
church, community, or work activities. List only those positions in which you were
directly responsible for directing or motivation others. (Ex: club officer, team captain,
newspaper editor, teacher, leader)
Grade level
Activity
V.
9
10
11
Position held/responsibilities
12
Service activities- list service activities in which you have participated (NOT PAID!).
These projects can be done with a group or on your own; either in or out of school. Please
specify your responsibilities, which group/club if applicable, and the time you spent
doing the activity. (Ex. If you cleaned your neighbor’s yard one day and it took 2 and a
half hours when you were a 9th grader, write cleaned yard, check 9th grade, and fill in 2.5
hrs in the yearly column. If you spend every Saturday afternoon for 3 hours playing piano
for the retired people, check 3 hrs. per week)
Grade level
Hours worked
Service/ Responsibility
9
10
11
12
daily
weekly
monthly
yearly
other
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VI.
Work experience (paid), hobbies, other activities- List anything else that speaks to
your character and shows you to be a qualified member of NHS
Grade level
Activity
9
10
11
Other information
12
Personal Statement
This personal statement is a very important part of the application, as it will allow us to analyze
your organization, ability to write, and ability to express yourself. Essays MUST be typed (12 pt
font (Times New Roman, Arial, or Garamond), double spaced, 1” margins). Essays that are not
typed will not be considered.
DO:
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Answer the question completely.
Use complete sentences to create multiple paragraphs to answer the essay.
Proofread you essay.
Make yourself look good!
DO NOT:
 Write about your hobbies, personal interests, family, or background.
 Name-drop; don’t even mention your own name.
 Mention any of the awards you listed on the previous page(s).
 Criticize the efforts of the current or previous chapters of any school organization,
including NHS, school leaders and staff, or the school in general.
PROMPT: We know that you are a successful student, but why does NHS need YOU? How will
you contribute to the organization while upholding the four pillars of scholarship, leadership,
service, and character?
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NHS Application Checklist
This checklist will hopefully help you make sure to turn in everything you need for your
application to be considered.
 SIGNATURES: Have you gotten all the required signatures?
 SCHEDULE: Did you attach your schedule? A copy may be obtained from your
counselor, or printed directly from Power School.
 ESSAY: Did you TYPE your essay and attach it to your application? Make sure you have
adhered to the “Do” list on the previous page, and someone has proofread your essay! PS:
The NHS advisor is available to proofread your essay.
 ACTIVITIES: Is your application filled out completely to the best of your knowledge?
 DUE DATE: The application is due back to room C106 by Wednesday, September
30, 2015 at 4pm. Applications returned after this date will not be considered as
applications were sent out at the beginning of the month.
 RECOMMENDATIONS: All students are required to get recommendations from
teachers/staff. This is a separate letter that gets sent to all teachers and staff by the NHS
advisor. All you need to do is remind them to fill it out on your behalf.
 INTERVIEW: Remember to sign up for an interview when you turn in your application!
 GOOD LUCK! If you have any questions while you are filling out the application, we
encourage you to speak with a current NHS member, or the advisor.
Updated 08/2015 6