Marine Academy of Technology and Environmental Science
CHAPTER of the National Honor Society
“Application Form”
Please complete all sections (please type). Do not be modest. Every bit of information
can be used by the MATES National Honor Society Faculty Council to assist with the
selection process. Completion of this form DOES NOT guarantee selection into the
MATES National Honor Society. You may transfer this electronically to fit the
information into the form.
I. ADMINISTRATIVE INFORMATION
Date:___________________
Name
Address
II. Co-curricular school activities – List all activities (also major accomplishments in
each) in which you have participated throughout MATES. Include clubs, teams,
musical groups, and home sending school district activities as well. Your role means
that you participated, were an officer, coordinator, etc… Also include approximate
time spent each year.
Year
Total
Activity
9 10 11 12
Accomplishments & Role
Time in
Hours
MATES National Honor Society
Student Application Form
Page 2
Name ______________________
III. Leadership Positions – List all elected or appointed leadership positions held at
MATES, community, sports or work activities. Only those positions in which you
were directly responsible for directing or motivating others should be included.
For example: elected student body, class or club officer; committee chairperson;
team captain; newspaper editor; work area manager; or community leader. List the
year only that you served a leadership position. Independent research presented
outside MATES should be included in this section
Leadership Position
Year
9 10 11 12
Description of Leadership Role
IV. Outside Service/Community Activities – List service activities in which you have
participated. These can be service projects done with a group either inside or outside
of school, or done as individual projects (performing a type of service). Generally,
service activities are those which are done for, or, on behalf of others (not including
immediate family members) for which no compensation (monetary or other) was
given. For example: religious groups, clubs sponsored outside of school, Boy
or Girl Scouts of America, or community art endeavors. Do not repeat
participation already listed above in section I. You can include information in
section II, only if it is outside or MATES and note described in section I. Please
list the name of an adult supervisor who can verify your participation in each
activity with a contact telephone number and/or e-mail and total hours to date.
Community Activity
9
10
11
Total
hours
to date
12
2
Accomplishments
Supervisor and
contact number or
e-mail
MATES National Honor Society
Student Application Form
Page 3
Name ______________________
V. Recognitions, Awards and Work Experience – List below any work experiences,
honors, or recognitions that you have received that support your bid to be
selected for membership into the MATES National Honor Society. Work
experience may be either paid or a volunteer internship.
Year
Recognition or Award or
Work Experience
9
10
11
12
Expand upon the recognition or award and detail
the work experience
MATES National Honor Society
Student Application Form
Name:_____________________
VI. Essays. Please provide responses to the following two questions below using a
separate sheet of paper. Please be sure that you use a font no less than 10 pt and no
greater than 12 pt (Times New Roman or Arial font types are acceptable). Be sure
that your essays are double spaced with you name on the top of each page. Essays
are to be no more than 300 words (typed) each.
1. If you were selected to the MATES NHS Chapter, how would you contribute
to the continued growth and success of our Chapter?
2. The National Honor Society encompasses four aspects of a person including
character, scholarship, leadership and service. In terms of character: “A
candidate will exemplify the guidelines and policies of MATES with
outstanding conduct and behavior. Some of the qualities associated with
character include: trustworthiness, fairness, responsibility, self-discipline,
citizenship, and concern for others.” Please write a brief essay on the ways
that you display positive character in both school and within your community.
3
Signature Form: Please print this out and have this signed (hard copy to Dr. Wnek)
I understand that completing this application form does not guarantee selection to
the National Honor Society, and that the information presented here is complete
and accurate.
__________________________________________________
Student Signature
________________
Date
I have read the information provided by my son/daughter on this application form
and can verify that it is true, accurate and complete in its presentation.
___________________________________________________
Parent/Guardian Signature
4
_________________
Date