PIUS XII Chapter of the National Honor Society
Assumption High School
Selection Process
In evaluating potential members for leadership, service, and character, the Faculty Council begins with a
review of the definitions of these criteria. A common understanding of the criteria for selection helps all
involved understand the professional decisions made by the Faculty Council. Students who meet the
scholarship requirements are then eligible for consideration on the basis of leadership, service, and
character.
SCHOLARSHIP: The student who academically:
 Is a junior or senior student with a minimum 3.5 cumulative grade point
 Fulfilled or fulfilling the following course requirements – Two years of a foreign language;
Chemistry, Physics, or Anatomy and Physiology; and Algebra II or Honors Algebra II.
LEADERSHIP: The student who exercises leadership:
 Is resourceful in proposing new problems, applying principles, and making suggestions
 Demonstrates initiative in promoting school activities
 Exercises positive influence on peers in upholding school ideals and spirit
 Contributes ideas that improve the civic life of the school
 Is able to delegate responsibilities
 Exemplifies positive attitudes
 Inspires positive behavior in others
 Demonstrates academic initiative
 Successfully holds school offices or positions of responsibility
 Conducts business effectively and efficiently
 Demonstrates reliability and dependability
 Is a leader in the classroom, at work, or in other school or community activities
 Is dependable in any responsibility accepted.
SERVICE: The student who serves:
 Volunteers and provides dependable and well-organized assistance, is gladly available, and is
willing to sacrifice to offer assistance
 Works well with others and is willing to take on difficult or inconspicuous responsibilities
 Cheerfully and enthusiastically renders any requested service to the school
 Is willing to represent the class or school in interclass and interscholastic competition
 Does committee and staff work without complaint
 Participates in some activity outside of school (e.g., Girl Scouts, Boy Scouts, religious groups,
volunteer services for the elderly, poor, or disadvantaged)
 Mentors persons in the community or students at other schools
 Shows courtesy by assisting visitors, teachers, and students.
CHARACTER: The student of character:
 Takes criticism willingly and accepts recommendations graciously
 Consistently exemplifies desirable qualities of behavior (e.g., cheerfulness, friendliness, poise,
stability)
 Cooperates by complying with school regulations concerning property, programs, office, halls, etc.
 Demonstrates the highest standards of honesty and reliability
 Regularly shows courtesy, concern, and respect for others
 Observes instructions and rules, is punctual, and faithful both inside and outside the classroom
 Manifests truthfulness in acknowledging obedience to rules, avoiding cheating in written work, and
showing an unwillingness to profit by the mistakes of others
 Actively helps rid the school of bad influences or environment.
NATIONAL HONOR SOCIETY
STUDENT ACTIVITY INFORMATION FORM
Name:
Grade:
ACADEMIC INFORMATION
SCHOLARSHIP: The student who academically:
 Is a junior or senior student with a minimum 3.5 cumulative grade point
 Fulfilled or fulfilling the following course requirements Two years of a foreign language; Chemistry, Physics, or Anatomy and Physiology;
and Algebra II or Honors Algebra II.
 Please indicate the courses you have taken or are currently enrolled in:
Foreign Language: French 2 OR Spanish 2
Math:
Science:
Honors classes completed:
Honors and/or College classes enrolled in:
AWARDS AND SPECIAL RECOGNITION
Please complete this for any school or community awards or recognitions you have
received while in high school.
Grade
Award Title & Description/Criteria
Organization
LEADERSHIP INFORMATION
The student who exercises leadership:
 Is resourceful in proposing new problems, applying principles, and making
suggestions
 Demonstrates initiative in promoting school activities
 Exercises positive influence on peers in upholding school ideals and spirit
 Contributes ideas that improve the civic life of the school
 Is able to delegate responsibilities
 Exemplifies positive attitudes
 Inspires positive behavior in others
 Demonstrates academic initiative
 Successfully holds school offices or positions of responsibility
 Conducts business effectively and efficiently
 Demonstrates reliability and dependability
 Is a leader in the classroom, at work, or in other school or community activities
 Is dependable in any responsibility accepted.
Please provide information regarding any leadership roles, elected or appointed, that you
have held either at Assumption High School or in the community. You may include
situations where you have displayed leadership qualities without a leadership title. Please
be as descriptive as possible about what your role was.
Date
Organization
Description of Leadership Role & Responsibilities
SERVICE
The student who serves:
 Actions undertaken by the student that are done on behalf of others without any
direct financial or material compensation to the person performing the service
 Volunteers and provides dependable and well-organized assistance, is gladly
available, and is willing to sacrifice to offer assistance
 Works well with others and is willing to take on difficult or inconspicuous
responsibilities
 Cheerfully and enthusiastically renders any requested service to the school
 Is willing to represent the class or school in interclass and interscholastic
competition
 Does committee and staff work without complaint
 Participates in some activity outside of school (e.g., Girl Scouts, Boy Scouts,
religious groups, volunteer services for the elderly, poor, or disadvantaged)
 Mentors persons in the community or students at other schools
 Shows courtesy by assisting visitors, teachers, and students.
Please provide any service that you have completed since you graduated from the 8th
grade. A total of at least 10 hours of school or community service is required beyond your
religion class requirements.
Date
Hours
Organization & Contact Name
Date(s): _________________
Description of Service
Total Hours: ______________________
EXTRA CURRICULAR ACTIVITIES
Please list any other extra-curricular activities you have actively participated in since you
have been at AHS. This would include athletic teams, clubs, musical groups and other
non-service organizations. Include the name of an advisor or group leader for verification
that you were an active participant of the stated activity.
Grade
Activity
Name of Advisor
WORK EXPERIENCE
List below any work experience, paid or unpaid, that supports your bid to be included into
National Honor Society.
Date
_Hrs/Week
Business
Job Description
Advisor
Assumption High School
NATIONAL HONOR SOCIETY
NAME OF CANDIDATE: ________________________________________
Essay Question (2 pages typed):
“In essay form, write an evaluation of your self-based on this rubric for National Honor Society
membership. Explain how you have earned a rating of at least a “1” in each category.”
NHS TRAIT
3
SCHOLARSHIP
Student is a junior or
senior who has at least a
3.5 cumulative grade
point average. Has
taken or enrolled in
three or more
challenging courses
such as Honors, AP
and/or College classes.
Student has taken or
enrolled in one or
more challenging
courses such as
Honors, AP and/or
College courses, but
has not pushed
themselves to their
full academic
potential.
Student has met the
minimum academic
criteria as outlined
in the NHS ByLaws to receive an
invitation to apply
for membership.
See listing under
scholarship at left.
Student shows strong
evidence of
exemplifying all of the
seven desirable qualities
of character. S/He is
respectful to their peers,
teachers, and staff. Have
few, if any, detentions
or referrals.
Student shows good
evidence of
exemplifying all of
the seven desirable
qualities of character.
S/He is respectful to
their peers, teachers,
and staff. Have few, if
any, detentions or
referrals.
Consistent, outstanding
service and involvement
to improve the
community and
Assumption High
School. Dedicated to
long term projects.
Student evidences
service performed on
an ongoing basis
through participation
in organized school
and community
activities.
Student shows
moderate evidence
of exemplifying all
of the seven
desirable qualities
of character. S/He is
respectful to their
peers, teachers, and
staff. Have few, if
any, detentions or
referrals.
School and
community service
involvement is
sporadic. More
one-time events
than dedicated
involvement.
The student
demonstrates positive
leadership and attitude
in and out of the
classroom. S/He also
exemplifies
responsibility and
aspires to reach
academic and spiritual
goals.
Student shows
positive leadership
and attitude in many
situations. S/He has
taken on
responsibility for
some activities.
3.5 CUMULATIVE GPA
Taken or enrolled in:
 Two years foreign
language
 Two years
Chemistry,
Physics, or
Anatomy &
Physiology
 Reg or Honors
Algebra II
CHARACTER
Respectful
Mature
Responsible
Fair
Trustworthy
Honest
Good Citizen
SERVICE
Within
Community
&
School
LEADERSHIP
2
1
Student
demonstrates some
leadership in the
classroom, but
outside of school
does not represent
National Honor
Society in his/her
actions.
0
Student does
not demonstrate
the seven
desirable
qualities of
character. S/He
is not respectful
to peers,
teachers, and
staff.
Student does
not show that
service is
important and
does not take
pride in his/her
service
projects.
Student
presents no
signs of
leadership or
responsibility
in or out of the
classroom.
Score
3-2-1-0
NAME
NATIONAL HONOR SOCIETY
Essay Question (2 pages typed):
“In essay form, write an evaluation of your-self based on this rubric for National Honor Society
membership. Explain how you have earned a rating of at least a “1” in each category.”
FORM TO DECLINE INVITATION
To:
Ms. Bush
From:
Candidate for National Honor Society
Although I am a viable candidate for consideration of membership in the Pius XII Chapter
of the National Honor Society at Assumption High School, I respectfully decline the
invitation to be considered.
I understand that as a junior, I may decline consideration and may be invited to complete
the selection process during my senior year as long as the scholarship requirements of the
chapter are met.
If you chose to decline, please print out this page are returned the signed form to your
NHS advisor.
_______________________________________________________________________
Student Name
Student Signature
Date
_______________________________________________________________________
Parent Name
Parent Signature
Date