National Honor Society Application - Elwood Jr.

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ELWOOD JUNIOR SENIOR HIGH SCHOOL
NATIONAL HONOR SOCIETY
David Retherford, Principal
Ted Rutowski, Assistant Principal
NATIONAL HONOR SOCIETY
Terri Wilson, Advisor
Kassandra Bower, Advisor
Audra Bolt, Advisory Committee Member
Membership in the National Honor Society (NHS) is based on a student's fulfillment of four
requirements. Members of the junior and senior class who meet all four requirements and
complete an application will be admitted to the National Honor Society.
The four basic requirements for membership are scholarship, leadership, service, and
character.
SCHOLARSHIP
Students are eligible to apply for NHS membership if they demonstrate academic
achievement by achieving a 3.50 or higher. Grade point averages will not be
rounded to meet the minimum requirement.
LEADERSHIP
According to the National Honor Society standards, the student who exercises leadership:
∙ is resourceful in proposing new problems, applying principles, and making suggestions
∙ demonstrates initiative in promoting school activities
∙ exercises influence on peers in upholding school ideals
∙ 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; and demonstrates reliability and dependability
∙ is a leader at work and in school or community activities
∙ is thoroughly dependable in any responsibility accepted
∙ is willing to uphold scholarship and maintain a loyal school attitude
SERVICE
The National Honor Society standards require that a student:
∙
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 inter-class and inter-scholastic competition
∙
participates in some activity outside of school: Girl Scouts, Boy Scouts, youth
groups affiliated with religious institutions, volunteer services for the aged, poor, or
disadvantaged, etc.
∙ mentors persons in the community or students at other schools
∙ shows courtesy by assisting visitors, teachers, and students
The EJSHS chapter of the NHS requires members to participate in a variety of EJSHS
activities but also to serve the greater community outside of the school.
CHARACTER
Each eligible student will be evaluated by the faculty and administration according to
the National Honor Society standards for good character, which state the student of
character:
∙ takes criticism willingly and accepts recommendations graciously
∙
consistently exemplifies desirable qualities of behavior (cheerfulness, friendliness,
poise, stability)
∙ upholds principles of morality and ethics
∙
cooperates by complying with school regulations concerning property,
programs, office, halls, etc.
∙ demonstrates the highest standards of honesty and reliability
∙ shows courtesy, concern, and respect for others; observes instructions and rules
∙
exhibits concentration and sustained attention as shown by perseverance and
application to studies
∙
manifests truthfulness in acknowledging obedience to rules, avoiding cheating in
written work, and showing unwillingness to profit by the mistakes of others
∙ actively helps rid the school of bad influences or environment
Character will automatically be questioned by events leading to suspension from school,
consistent lateness, cheating, or other offenses brought forth by a member of the faculty or
administration. If someone deems a student's character not sufficient, that opinion will be
discussed with the student's current teachers, administrators, or counselor, and the relevant
information will be forwarded to the Faculty Council for consideration.
APPLICATION AND MEMBERSHIP
Eligible students are responsible for completing an application and documenting their
service/activity hours.
The Faculty Council will evaluate the requirements of scholarship, leadership, service, and
character for each eligible candidate. Final selection of the National Honor Society is the
responsibility of the Faculty Council.
All National Honor Society members are expected to maintain membership requirements of the
National Honor Society, including GPA, and to take part in National Honor Society service
projects. The Faculty Council may dismiss any member failing to fulfill these obligations.
Dismissal will result in the removal of the NHS designation from school records and, depending
on the severity of the infraction, possible notification of colleges to which a student applied.
National Honor Society Application Checklist

Personal data page

Two teacher recommendation forms – complete the top portions only and deliver to
your recommending teacher. (Character & Scholarship)

Signature page

Discipline Record(Character)

Transcript(Scholarship)

Activity form(Character, Service, & Leadership)

OPTIONAL—NHS Officer Application
Applications must be received by Friday, February 19, 2016 by 3:00 p.m..
Deliver to guidance office
Elwood Junior Senior High School
National Honor Society Application
Personal Data
Name:
_________________________________________________________________________________________
Last
First
Middle
Address:
_________________________________________________________________________________________
Number and Street
_________________________________________________________________________________________
City and State
Zip Code
Home Telephone: _________________________Cellular Telephone: _________________________________
E-mail:___________________________________________________________________________________
Grade: __________________________
General Directions: Use the checklist to be sure all parts of the application are included. Follow the specific
directions on each page. Application pages may be completed online and then printed. Handwritten applications
will not be accepted.
Incomplete applications will not be reviewed.
Return your completed application to the guidance office.
Deadline: ______Friday,
February 19, 2016 by 3:00 p.m_________
Teacher Recommendations: In the spaces below, name the two teachers you will ask to recommend
you. Complete the table. A recommendation must be given to a teacher whose class you have taken or are
currently taking. You cannot use a coach, activity sponsor, counselor or non-teaching staff person.
Teacher
Course
Semester /Year
Questions: If you have questions or need help completing the application, you may contact one of the following
advisors:
Ms. Kassandra Bower
Mrs. Terri Wilson
Elwood Junior Senior High School
National Honor Society Application
Signature Page
To be completed by the applicant:
I understand that completing and submitting this application does not guarantee selection to the National Honor
Society. I attest that the information presented here is complete and accurate. If selected, I agree to abide by the
standards and guidelines of the chapter and to fulfill all of my membership obligations to the best of my ability.
Name: _______________________________________________________________________________________
(Printed)
Signature: ____________________________________________________________________________________
(Date)
To be completed by the parent or guardian of the applicant:
I have reviewed the application and give permission for my child to apply to the Elwood Junior Senior High School
chapter of the National Honor Society.
Name:
_________________________________________________________________________________________
(Printed)
Signature: ____________________________________________________________________________________
(Date)
Daytime Telephone: ___________________________ E-mail:_____________________________________
OPT OUT
To be completed by the applicant:
I do not wish to be a member of the National Honor Society
Name: _______________________________________________________________________________________
(Printed)
Signature: ____________________________________________________________________________________
(Date)
To be completed by the parent or guardian of the applicant:
I understand that my child does not wish to be a member of the National Honor Society.
Name:
_________________________________________________________________________________________
(Printed)
Signature: ____________________________________________________________________________________
(Date)
Elwood Junior Senior High School
National Honor Society Application
Activity Form
Directions: List all activities in which you have participated during high school. Include clubs, teams, musical
groups, work, community service, volunteering, etc. Please include any major accomplishments for an activity (ex.
Captain, director, etc.). Also note the name of the faculty coordinator you work with in this activity.
ACTIVITY
YEAR
Accomplishment Leadership Position Held Faculty Coordinator
(9 , 10 , 11 , 12 )
th
th
th
th
Student Name: ___________________________________________________________________
Elwood Junior Senior High School
National Honor Society Application
Teacher Recommendation Form
Applicant: Complete the top portion only.
Student Name: __________________________________Teacher Name: _______________________________
This student is seeking to become a member of the National Honor Society. The Faculty Council would like your
input to help make its decision.
What course did you teach this student and when? _________________________________________________
Check the appropriate box that best describes the character of the student.
Attribute
Truly
Outstanding (top
2-3%)
Excellent
(Top 10%, but
not top 2-3%)
Good
Average
Below
Average
No Basis for
Judgment
Responsibility
Maturity and selfdiscipline
Self-confidence
Sense of humor
Concern for others
Integrity
Reaction to setbacks
Compliance with
school regulations
Cooperation with
others
Recommendation:
_____
_____
_____
recommend without reservation
recommend with reservation
(Please comment).
do not recommend
(Please comment).
Comments should be written on the back of this form.
Printed Name ______________________________________________________________________________
Signature __________________________________________________ Date _________________________
DO NOT RETURN TO THE APPLICANT.
Please sign and return to the guidance office by Friday, February 26, 2016 at 3:30 p.m..
Thank you.
Elwood Junior Senior High School
National Honor Society Application
Teacher Recommendation Form
Applicant: Complete the top portion only.
Student Name: __________________________________Teacher Name:
__________________________________
This student is seeking to become a member of the National Honor Society. The Faculty Council would like your
input to help make its decision.
What course did you teach this student and when? _________________________________________________
Check the appropriate box that best describes the character of the student.
Attribute
Truly
Outstanding (top
2-3%)
Excellent
(Top 10%, but
not top 2-3%)
Good
Average
Below
Average
No Basis for
Judgment
Responsibility
Maturity and selfdiscipline
Self-confidence
Sense of humor
Concern for others
Integrity
Reaction to setbacks
Compliance with
school regulations
Cooperation with
others
Recommendation:
_____
_____
_____
recommend without reservation
recommend with reservation
(Please comment).
do not recommend
(Please comment).
Comments should be written on the back of this form.
Printed Name ______________________________________________________________________________
Signature _______________________________________________________ Date _________________________
DO NOT RETURN TO THE APPLICANT.
Please sign and return to the guidance office by Friday, February 26, 2016 at 3:30 p.m..
Elwood Junior Senior High School
National Honor Society Application
OPTIONAL-----NHS Officer Application
Applicant:
If you are interested in being interviewed for an Officer Position of NHS, please review the roles
of each position and complete the application as directed.
National Honor Society is a student run organization that requires time and dedication from its
members but especially from its Officers.
Co-Leaders’ Roles and Expectations:
 Organize and run meetings
 Lead the planning of fundraisers and share important information with NHS members
 Work with the staff advisors in planning meetings and activities
 Schedule and attend weekly meetings with other officers
 Assist in contacting organizations that we would like to support
Treasurer Roles and Expectations:
 Manage finances
 Publicize to the school and community about activities NHS is organizing to increase participation in
fundraising activities
 Assist in finding fundraisers that will help raise money for different organizations
Secretary Roles and Expectations:
 Take notes at meetings
 Maintain accurate attendance logs for meetings and events
 Maintain contacts for all NHS members (cell phone numbers and email addresses)
 Help organize tasks
 Make agendas for meetings
Applicant:
Complete the following 250 or less word essay in a typed format that you should
attach to your application. Your essay answer must include your name and the title “REQUEST
TO BE CONSIDERED FOR NHS OFFICER POSITION”. You should also list the position(s)
that you want to interview for. All applicants selected to run for office will be required to present
a speech explaining why they would make a strong officer in front of the NHS members. NHS
members and advisory committee (Mr. Retherford, Mrs. Wilson, Mr. Rutowski, Ms. Bower, and
Ms. Bolt) will then vote for candidates.
ESSAY:
Why do you think you would make a strong officer for NHS? Your essay should
include how you manage your academics and extra-curricular activities and how
the demands of NHS would fit into your senior year of high school. Your essay
should also include what characteristics or experience you have that fit the officer
role you are applying for.
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