BOSQUEVILLE HIGH SCHOOL CHAPTER of the NATIONAL HONOR SOCIETY CANDIDATE’S INFORMATION FORM COVER SHEET APPLICANT'S NAME: Please initial each box as a reminder prior to submitting your Candidate’s Information Form. Neatly complete the Candidate’s Information Form and paper clip it together in correct order: Cover Sheet, Candidate’s Information Form, [Resume, if needed] & Letter of Recommendation Attach a Resume, if needed Candidate’s Information Form submitted before 8:00 a.m. on ______________________________. Failure to submit the necessary information by the deadline will result in disqualification for the current school year as the Faculty Council will have no information on which to base its decision. IMPORTANT: Please read complete the following If accepted for membership in the National Honor Society, I agree to the following: 1. I will participate in ALL monthly NHS meetings. 2. I will fulfill the required number of hours of community service during each year of membership. 3. I will hold leadership positions during each year of membership. 4. I will not let my grade point average fall below a cumulative 3.5 any semester. 5. I will abide by all school rules, local, state and federal laws. 6. I will attend Induction practice and the Induction Ceremony each year of membership. 7. I will sign and abide by the Bosqueville High School Student Code of Conduct and the National Honor Society Academic and Behavioral Code of Conduct. 8. I understand that failure in any of the above areas is grounds for removal from NHS. Applicant Signature & Parent/Guardian Signature I certify that the information provided on this Candidate’s Information Form is true and correct to the best of my knowledge. I acknowledge that any inaccurate or misleading information will jeopardize my membership privilege. I further certify that I will, if accepted, abide by the rules and support the goals of the National Honor Society. ________________________________________________ Applicant Signature We have reviewed this Candidate’s Information Form and are aware of its requirements and standards and we recognize that failure to comply with these requirements and standards may disqualify this Candidate’s Information Form. We also understand that students selected for the National Honor Society must attend meetings and functions as required. We recognize that students will be required to perform community service hours, uphold leadership positions and maintain a high degree of character; we understand that failure to do so may result in removal from the NHS. Student Name Student Signature Parent Name Parent Signature Bosqueville High School – NHS Candidate’s Information Form Directions: Please complete all the areas of this form. Do not be modest. All information is useful to the faculty council. Completion of this form is necessary for selection yet does not guarantee selection. Any section that is left blank without subsequent explanation will be considered invalid. I. Administration Information (Please type or print): Name: First Address: Phone: II. Middle Street Last City ( ) State Zip Code - Sections required: A. Co-curricular Activities: List all activities in which you have participated during high school. (Example: clubs, teams, musical groups) Include a few details about your accomplishments in those activities. ACTIVITY “X” those years of participation 9 10 11 Primary Accomplishment(s) 12 Page 2 of 10 Bosqueville High School – NHS Candidate’s Information Form Required sections to be completed for membership in the National Honor Society - cont’d. List additional comments. If the above section is left blank, please explain why. B. Leadership Positions: List leadership positions which you have held or currently hold in school, in the community, or at work in which you have been responsible for directing or motivating others. (Examples: student body/class/club officer, tutor, teaching assistant, committee chairperson, team captain, newspaper editor or staff, work area manager.) Position “X” those years of participation 9 10 11 Name of Organization 12 List additional comments. If the above section is left blank, please explain why. Page 3 of 10 Bosqueville High School – NHS Candidate’s Information Form Required sections to be completed for membership in the National Honor Society - cont’d. C. Community Activities: List activities you have participated in outside of school which have contributed to the betterment of the community. (Examples: church groups, 4H, clubs sponsored outside the school, Boy or Girl Scouts, volunteer groups or community art endeavors.) Community Activity “X” those years of participation 9 10 11 12 Average number of HRS/WK contributed Primary Accomplishments Adult Sponsor: name and phone List additional comments. If the above section is left blank, please explain why. Page 4 of 10 Bosqueville High School – NHS Candidate’s Information Form Required sections to be completed for membership in the National Honor Society- cont’d. D. Work Experience, Recognition, and Awards: List all (paid or volunteer) job experiences, honors and/or recognitions that you have received which support this Candidate’s Information Form for National Honor Society membership. Position “X” those years of participation 9 10 11 Name of Organization 12 List additional comments. If the above section is left blank, please explain why. Page 5 of 10 Bosqueville High School – NHS Candidate’s Information Form Required sections to be completed for membership in the National Honor Society - cont’d III. Letter of Recommendation –please see last page of this Candidate’s Information Form IV. Essay: Respond to one of the following essay items in the space provided below the prompt. Please limit your response to a maximum of 500 words. Please neatly write your response in the space provided. A. What specific qualities do you possess that strengthen your candidacy for membership in the National Honor Society? Give specific examples of how you have worked to reach the goals exemplified by the characteristics of this organization, particularly in the areas of Leadership, Service and Character. Include any stories from your experience that illustrate your strengths in these three areas. Page 6 of 10 Bosqueville High School – NHS Candidate’s Information Form Page 7 of 10 Bosqueville High School – NHS Candidate’s Information Form Required sections to be completed for membership in the National Honor Society - cont’d B. What can you tell us about how you meet (or exceed) the NHS membership criteria that is NOT reflected or revealed in your Candidate Information Form? If you feel that a section of your Candidate Information Form does not provide enough evidence or is not representation of your qualities in that area, elaborate or clarify the evidence that you provided. Page 8 of 10 Bosqueville High School – NHS Candidate’s Information Form Page 9 of 10 Bosqueville High School – NHS Candidate’s Information Form Letter of Recommendation Bosqueville High School Chapter of the National Honor Society Directions to Student: Identify someone in the community who can attest to the SERVICE, CHARACTER and LEADERSHIP that you have provided over the past two years and/or longer. Provide him or her with this recommendation form and an envelope. Please have him or her complete the recommendation form and seal it in the envelope you provided. Then, return it with your Candidate’s Information Form. Directions to Writer: Bosqueville High School is in the process of selecting National Honor Society members. We would like your feedback as to the SERVICE, CHARACTER, and LEADERSHIP this applicant has demonstrated. Please comment on: the applicant’s commitment to service the nature of the activities how this person demonstrated leadership in events or organizations additional comments about the CHARACTER (honesty, reliability, etc.) of the applicant Please seal the envelope and return it to the student; please reference the student on the front of the envelope. Student Name: Writer's Name: Signature of Writer: Date: Position: Phone Number: How long have you known the applicant? Please use the space below or the back of this page to comment on this individual's character, service and leadership based on your observations and experiences. A separate sheet may be attached at your convenience. Page 10 of 10