National Honor Society
Invitation
National Honor Society
Westerville South High School
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CONGRATULATIONS! You are scholastically eligible for membership in the
National Honor Society of Westerville South High School. If you wish to be considered
for membership in the Society, please complete the membership application form
attached to this letter.
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You will be evaluated by members of the high school faculty. Candidates are evaluated
on the basis of leadership, service, character, and scholarship. The Faculty Council will
consider each application and will make the final decision for membership into the
Westerville South Chapter of the National Honor Society. Candidates selected to become
provisional members of the National Honor Society will be informed of their acceptance
by letter no earlier than _________. The ceremony will be held on
________________________________ during 3rd period in the gymnasium with a
gathering in the media center to follow. Family members are invited to attend the
ceremony and gathering.
Membership in the National Honor Society is a significant academic honor as well as a
personal achievement. You are encouraged to return the attached form promptly. The
deadline for the completion of the form is ________________________________.
ONLY FORMS RECEIVED BY THIS DATE WILL BE CONSIDERED FOR
MEMBERSHIP IN THE WESTERVILLE SOUTH CHAPTER of the NATIONAL
HONOR SOCIETY.
Thank You.
Please return the completed forms to the NHS Mailbox in the front office.
Westerville South National Honor Society
Membership Application Form
Please complete all sections. You may type or print. Do not be modest. Every
bit of information can be used by the Faculty Council to assist with the selection process.
However, please do not list a single activity in more than one section on this form.
Completion of the form does not guarantee selection.
Information:
Name:_____________________________________________
Homeroom teacher:__________________________________ Room #:___________
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Please read the following statement and sign below.
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We understand that membership in the National Honor Society is an honor and
that membership is based on leadership, community service, scholarship, and character.
We also understand that completion of this form only places a student in
consideration for membership. The Faculty Council whose decisions will be
confidential, without qualification, and final will review the form and teacher
recommendations.
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Student Signature:_________________________________________
Parent Signature:__________________________________________
Date Returned:____________________________________________
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To the best of your knowledge, please answer each of the following questions. Offer
any explanation you feel appropriate. You may write on another sheet of paper if you
need additional space.
I. Assessment of Character
1. What have you done to challenge yourself academically? List all
honors, AP, and IB courses you have taken in high school.
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2. How many grading periods (quarters) have you been at WSHS?_____
3. Have you ever been disciplined by the Dean of Students or an
Administrator?_______ If yes, please explain.___________________
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4. Have you had a high school detention?________If yes, how many?___
5. Below list all school sponsored extra curricular activities, dates of
participation, and advisor/coach’s names:
School Activity
Dates of Participation Coach/Advisor Name
6. Have you ever been disciplined as a member of an extra curricular
activity or sport?________________________________________
7. List all honors received during high school
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II. Leadership Activities
1. List all appointed leadership positions held in either school,
community or activities. Only those positions in which you were
directly responsible for directing or motivating others should be
included. You may include projects you supervised, groups you
facilitated, or fundraisers you help sponsor.
Leadership Position
Dates of Participation Organization
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III. Service Activities
1. List community or school activities in which you have participated and
note any major accomplishments in each. These should be any
activities in which you participated for the betterment of your
community. You may include church groups, clubs outside of school,
boy scouts or girl scouts, and volunteer groups. These are activities
for which you did not receive payment.
Community Activity
Dates of
Coach/Advisor Name
Participation/
Number of hours
IV. Scholarship
1. Fill in appropriate spaces below. What is your cumulative GPA?____
Teacher
1st Quarter
2nd Quarter
Exam
1st Semester
Classes
Grade
Grade
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2. Have you ever committed any acts of academic dishonesty?_________
The above information is true to the best of our knowledge.
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Applicant’s Signature
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Parent/Guardian Signature