SAUCON VALLEY HIGH SCHOOL
M.E. ILLICK CHAPTER OF THE NATIONAL HONOR SOCIETY
Application Information
● All sophomores and juniors who have a cumulative high school GPA of 3.6 or greater may apply for
admission to The M.E. Illick Chapter of the Saucon Valley High School National Honor Society. Those
students possessing the minimum GPA should receive a letter in the mail notifying them that their
GPA makes them eligible to apply.
● Admission is not automatic. In addition to having the required GPA, applicants must demonstrate
significant accomplishment and/or participation in the four areas indicated on the application form.
Each area is weighted equally in the application process, so it is necessary to have some
accomplishments in each area.
● Application Fee - In order for your application to be considered, each applicant must submit an
application fee to the advisor in the amount of $36 (thirty six dollars), by cash, or by check, payable to
SVHS National Honor Society, within two school days of the submission of his or her application. This
one time fee is used to offset the cost of NHS induction supplies and NHS graduation supplies. If after
the application process you have not been selected for membership, the check or cash will be
returned to you.
● All activities, accomplishments, etc. included in the application must have taken place during high
school. Do not include anything that occurred before you were in high school (only grade 9 and
later). Doing so could jeopardize your chances for admission.
● Paper applications will not be accepted or considered for review.
● Make sure your application is neat and readable.
● All applications are read anonymously by the Saucon Valley NHS Faculty Council. Your name will be
removed and replaced with a number. Please avoid indicating your identity anywhere in the
application. Anonymity ensures impartiality and makes the selection process much easier for the
committee.
● Scoring - The total earned points possible on this application is 20. A score of 15 points is necessary
in order for the Faculty Council to elect you to serve as a member of the National Honor Society.
PLEASE NOTE: Honor Society is a service organization. Membership is a highly sought after honor,
but it requires commitment to the ideals of the organization. Your acceptance of membership in
Honor Society will indicate your willingness to participate in all National Honor Society activities such
as meetings and service projects. Failure to comply with these requirements can result in dismissal
from the National Honor Society.
ALL APPLICATION FORMS MUST BE COMPLETED & RETURNED VIA EMAIL TO
MRS. HAUSER (MEGAN.HAUSER@SVPANTHERS.ORG)
BY 3:00 P.M. MAY 16TH, 2014
1
M.E. ILLICK CHAPTER NATIONAL HONOR SOCIETY
STUDENT INFORMATION FORM
Please complete all sections. Do not be modest. ALL information can be used by the faculty council
to assist with the selection process. Completion of this form does not guarantee selection.
General Information
Name:
Year in School:
Email Address:
2
I. SERVICE ACTIVITIES (5 PTS TOTAL)
This section consists of a list of service activities you in which you have been or are currently
involved. The quality and quantity of your service hours will be evaluated and scored by the Faculty
Council.
The list of activities and hours can earn a maximum of 3 points.
Your service essay, evaluated by the Faculty Council, will be worth a maximum of 2 points.
Instructions
1) List all activities in which you have participated during high school. Be sure to include clubs,
teams, musical activities, etc.
2) Place an “X” under the school year(s) during which you participated in each activity.
3) For each activity you list, write a brief description of your accomplishments, 200 characters in
length or fewer.
4) Indicate the total number of hours per school year, for which you have invested meaningful
time, for each listed service activity.
5) Print out the Supervisor Signature Form at the end of this application, and obtain a signature
from each adult that is in charge of each of your activities. Be sure to write the full name of
your activity and have the coach, teacher, or advisor print and sign his or her name in the
appropriate spaces provided.
6) Scan or take a photograph of the completed signature form and send it as an attachment along
with the rest of your application once you have completed it.
7) Choose one of the activities you have posted and write a description, in 200 to 300 words or
fewer, that describes your accomplishments in that activity.
3
I. SERVICE ACTIVITIES (3 PTS)
* A signature from the adult supervisor is required on the
Supervisor Signature Form for any listed service activity.
9
ACTIVITY
10
11
12
HOURS/SCHOOL YEAR
ACCOMPLISHMENTS
4
I. SERVICE ACTIVITIES (2 PTS)
In the space provided, construct an essay in 200 to 300 words that discusses one of your service
activities. Be sure to discuss your accomplishments, how your work and dedication to the activity
support your candidacy for NHS membership.
5
II. LEADERSHIP ACTIVITIES (5 PTS TOTAL)
This section consists of a list of leadership activities in which you have been or are currently involved.
The National Honor Society National Constitution defines student leaders as those who are
resourceful, good problem solvers, and idea contributors. Leadership experiences can be drawn from
school or community activities while working with or for others. The quality and quantity of your
leadership hours will be evaluated and scored by the faculty council.
The list of leadership positions and hours can earn a maximum of 3 points.
Your leadership essay, evaluated by the Faculty Council, will be worth a maximum of 2 points.
Instructions
1) List all leadership activities and positions in which you have participated during high school.
Be sure to include leadership roles in clubs, teams, musical activities, etc.
2) Place an “X” under the school year(s) during which you participated in each leadership activity.
3) For each leadership activity you list, write a brief description of your leadership role, 200
characters in length or fewer.
4) Indicate the total number of hours per school year, for which you have demonstrated
meaningful leadership, for each listed leadership activity.
5) Print out the Supervisor Signature Form at the end of this application, and obtain a signature
from each adult that is in charge of each of your activities. Be sure to write the full name of
each of your leadership activities and have the coach, teacher, or adviser print and sign his or
her name in the appropriate spaces provided.
6) Scan or take a photograph of the completed signature form and send it as an attachment along
with the rest of your application once you have completed it.
7) Choose one of the leadership activities you have posted, and write a description, in 200 to 300
words or fewer, that describes your leadership role in that activity.
6
II. LEADERSHIP ACTIVITIES (3 PTS)
* A signature from the adult supervisor is required on the
Supervisor Signature Form for any listed service activity.
9
10
11
12
HOURS/SCHOOL YEAR
ACTIVITY
ACCOMPLISHMENTS
7
II. LEADERSHIP ESSAY (2 PTS)
In the space provided, construct an essay in 200 to 300 words that discusses one of your leadership
roles. Be sure to discuss your accomplishments in that leadership role and how your work and
dedication to it support your candidacy for NHS membership.
8
III.
CHARACTER (5 PTS)
A Student Character Survey made available to all Saucon Valley High School teachers will
determine points earned for this section. Teachers will score the applicants’ character by assigning
points, 0-4, to each of the character descriptions on the survey.
The average of the total of all the scores received by each applicant will serve as the Student
Character Survey score and will be worth a total of 4 points.
A Letter of Recommendation you provide to your NHS advisor (Mrs. Hauser) will determine points
earned for this section. The advisor will withhold your letter of recommendation from the Faculty
Council until all other scores have been calculated in order to protect your anonymity in the scoring
process.
The letter of recommendation will be worth a total of 1 point.
Instructions
1) Letters of recommendation must be written by an adult that is NOT affiliated with Saucon
Valley School District or the Saucon Valley School Board.
2) The letter may be typed but must contain the original signature of the writer.
3) A hard copy of the letter must be submitted to Mrs. Hauser no later than the application due
date.
****PLEASE BE AWARE****
Any disciplinary issues in your high school file which clearly go against the requirements of good
character for NHS membership acceptance such as: plagiarism, cheating, abuse of school privileges,
etc., the faculty council reserves the right to disqualify your application on that basis, regardless of the
total score you earn in the NHS application process.
9
IV.
SCHOLARSHIP (5 PTS)
Your score for scholarship will be your cumulative GPA as of the time you received the letter of
eligibility to apply for NHS membership. Therefore, your score for this section could range from 3.6 to
5.0. Your cumulative GPA scores will be obtained through the counseling office, and will be added to
your score by the Faculty Council.
Your GPA will be worth a maximum of 5 points.
V. APPLICANT SIGNATURE
Instructions
1) Print out the Applicant Signature page, print and sign and have a parent or guardian print and
sign.
2) Scan or take a photograph of the completed signature page and place into your NHS Google
Drive folder. Be sure to share the folder with Mrs. Hauser (megan.hauser@svpanthers.org).
I UNDERSTAND THAT IF I AM ACCEPTED INTO THE M.E. ILLICK CHAPTER OF THE NATIONAL
HONOR SOCIETY I WILL BE EXPECTED TO ATTEND GROUP MEETINGS, PARTICIPATE
ACTIVELY IN GROUP SERVICE PROJECTS, AND WILL BE EXPECTED TO COMPLETE THE
REQUIRED SERVICE HOURS BY THE TIME I GRADUATE HIGH SCHOOL, AS INDICATED BY
THE CHAPTER BYLAWS AVAILABLE ON THE SCHOOL'S NHS WEBSITE.
_______________________________________________________________________
NHS Applicant Printed Name
_______________________________________________________________________
NHS Applicant Signature
PARENT REVIEW AND CONSENT
I HAVE REVIEWED MY SON/DAUGHTER’S APPLICATION AND AFFIRM THAT IT IS CORRECT. I
UNDERSTAND THAT SUBMITTING AN APPLICATION DOES NOT GUARANTEE MY SON OR
DAUGHTER’S ACCEPTANCE INTO THE M.E. ILLICK CHAPTER OF THE SAUCON VALLEY HIGH
SCHOOL NATIONAL HONOR SOCIETY. I GIVE MY CONSENT FOR MY SON/DAUGHTER TO
APPLY FOR MEMBERSHIP IN THE M.E. ILLICK CHAPTER OF THE NATIONAL HONOR
SOCIETY.
_______________________________________________________________________
Parent/Guardian Printed Name
_______________________________________________________________________
Parent/Guardian Signature
10
VI. NHS SUPERVISOR SIGNATURE FORM
Instructions
3) Print out the Supervisor Signature Form and obtain a signature from each adult that is in
charge of each of your activities. Be sure to write the full name of your activity. Have that
coach, teacher, or advisor print and sign his or her name in the appropriate spaces.
4) Scan or take a photograph of the completed signature form and place into your NHS Google
Drive folder. Be sure to share the folder with Mrs. Hauser (megan.hauser@svpanthers.org).
ATTENTION
Service and Leadership Activity Advisors, Supervisors, Coaches, Mentors:
By printing and signing your name in the space provided, you are indicating that you have reviewed
the applicant's entry in the main NHS application, that you agree the student has invested the number
of hours he or she has indicated for your organization, and that the comments the student has written
regarding his or her accomplishments in the organization is accurate.
ACTIVITY LISTED ON
APPLICATION
PRINTED NAME
SIGNATURE
11
12