Candidate's Form

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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.
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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
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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
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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.
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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.
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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:
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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
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