Eta Sigma Alpha

National Homeschool Honor Society

Delta Chapter 2012-2013

Please Print

Last name ______First Name______

Address______

City/State/Zip______

Home Phone______Grade______Birth Date______

Student Cell ______Student Email______

Mother:

Name______Cell______Email______

Father:

Name______Cell______Email______

For Sponsors:

Test type / Year / Score / Attendance / Dues Paid-Date / Check#
Stanford / 2012-2013
Iowa / 2013-2014
SAT / 2014-2015
PSAT / 2015-2016
ACT
Year Inducted
Service Hours / 12-13 / 13-14 / 14-15 / 15-16
Officer/Appointed Office
Position / Year / Turned in:
Recommendation Letter #1
Recommendation Letter #2
Student Letter
Parent Letter
Statement of Faith
Student/Parent Requirement Sheet
Copy of Test scores
Transcript/Course study
Membership Application
Returning (R) or New (N)

Eta Sigma Alpha

National HomeSchool Honor Society

Delta Chapter

Membership Application

Name______

Address______

City, State, Zip______

Home phone ______cell______Date of Birth______

Email Address ______Current Grade Level______

Parent Email ______

Eligible: Home educated students in grades 9-12.

Current GPA (3.5 grade point average on a four-point scale required):______

Please attach a copy of your transcript to this application.

Test Score - one of the following criteria must be met:

SAT Score: 1800, or ACT Score: 26, or PSAT Score: 180 selection index

STANDARDIZED IOWA or STANFORD Tests with Composite Score of 90% and must be administered in group setting by other than parent as of July 12, 2008. Testing done prior to that date, is still valid for purposes of NHHS admission, if it is the last test date being used.

I am submitting the following score for consideration:______(Attach a copy of your test results.)

Statement: Please attach a short paragraph/letter about yourself and why you would like to be a member of Delta Chapter National Homeschool Honor Society.

Parent: Attach a short letter/paragraph regarding your student’s desire to join NHHS membership, and your remarks concerning student commitment, etc.

Letters of Recommendation: List the names, addresses, and phone of individuals who

know you personally and who you have asked to submit a recommendation on your behalf.

Reference One: ______

Reference Two: ______

Mail applications and letters to: Terri Toy, 1115 Martin, Houston, Texas 77018.

Questions:

Student/Parent Requirement Agreement

New DELTA NHHS Member Applicant

The academic and service requirements for being a member of the Delta Chapter of the Eta Sigma Alpha National Homeschool Honor Society are as follows:

  1. ______(student name) is a full-time homeschool student in the ______grade. (Member must be a homeschool student in the 9th-12th grade)
  2. Provide a copy of the required test scores to the DELTA Chapter Sponsors from one of the following:
    a) Stanford Achievement or Iowa Achievement - Composite score of 90%

b) SAT – 1800

c) PSAT – 180

d) ACT – 26

  1. 2 Letters of recommendation from a teacher, pastor, or adult (other than parent).
  2. Letter from parent
  3. Payment of $25 dues is attached to this agreement. (late fees of $5.00/mo. may be assessed.)
  4. Fulfillment of 25 service hours is required, 5 of which are to be done as a group on specified dates.
  5. Attend the required monthly meetings
  6. Signature for the following statement of faith is required:
  7. I believe the Bible is the inspired, infallible, and authoritative Word of God. The Bible, in its original autograph, is without error in whole or in part.
  8. I believe God has existed from all eternity in three persons: God the Father, God the Son, and God the Holy Spirit.
  9. I believe in the deity of our Lord and Savior, Jesus Christ; that He was, is, and shall forever be, the only begotten Son of God. I believe in His virgin birth, being conceived by the Holy Spirit, His sinless life, His miracles, His vicarious and atoning death through His shed blood. I believe in His bodily resurrection, His ascension to the right had of the Father, and His personal return in power and glory.
  10. I believe that all have sinned and fallen short of the glory of God, and therefore, must accept by faith the death of the Lord Jesus Christ as payment of those sins. Salvation is offered as a gift, free to the sinner. This gift must be responded to in individual faith in the sacrificial death of Jesus Christ.

Parent Date

Student Date

Statement of Faith

Eta Sigma Alpha National Homeschool Honor Society

Delta Chapter

1. I believe the Bible is the inspired, infallible, and authoritative Word of God. The Bible, in its original autograph, is without error in whole and in part.

2. I believe God has existed from all eternity in three persons: God the Father, God the Son, and God the Holy Spirit.

3. I believe in the deity of our Lord and Savior, Jesus Christ; that He was, is, and shall forever be, the only begotten Son of God. We believe in His virgin birth, being conceived by the Holy Spirit, His sinless life, His miracles, His vicarious and atoning death through His shed blood. We believe in His bodily resurrection, His ascension to the right hand of the Father, and His personal return in power and glory.

4. I believe that all have sinned and fallen short of the glory of God, and therefore, must accept by faith the death of the Lord Jesus Christ as payment of those sins. Salvation is offered as a gift, free to the sinner. This gift must be responded to in individual faith in the sacrificial death of Jesus Christ

______

Parent-Name Printed

______

ParentSignature Date

______

Student-Name Printed

______

Student Signature Date

Eta Sigma Alpha

NationalHomeSchool Honor Society

DELTA CHAPTER

Certification of Home School Eligibility

I certify that the education being provided my Student,

______during the______

Applicant’s Name

school year, is being provided at least 51% through

home schooling and according to the guidelines

furnished through HSLDA defining such.

Parent/Legal Guardian’s Printed Name

Parent/Legal Guardian’s Signed Name

______

Date

Eta Sigma Alpha

National HomeSchool Honor Society

Delta Chapter

Recommendation Form

Thank you for your time in filling out this form for ______,

a Homeschool student who is seeking membership in the National Homeschool Honor Society, Delta Chapter. Thank you for taking the time to provide a letter of Recommendation for this

student, and for filling out the information below.

Upon completion of the form and the letter, which you may attach to this form, please return it to the following address:

Mrs. Terri Toy

1115 Martin

Houston, TX 77018

What relationship do you have with this person?

In your observation of this person, what outstanding traits or talents do you see?

Do you feel this person exhibits any leadership skills or qualities?

In your dealings with this person, what is your evaluation of his/her character?

Submitted by: ______

______(Phone)

______

______

Eta Sigma Alpha

National Home School Honor Society

Delta Chapter

Recommendation Form

Thank you for your time in filling out this form for ______,

a Homeschool student who is seeking membership in the National Homeschool Honor Society, Delta Chapter. Thank you for taking the time to provide a letter of Recommendation for this

student, and for filling out the information below.

Upon completion of the form and the letter, which you may attach to this form, please return it to the following address:

Mrs. Terri Toy

1115 Martin

Houston, TX 77018

What relationship do you have with this person?

In your observation of this person, what outstanding traits or talents do you see?

Do you feel this person exhibits any leadership skills or qualities?

In your dealings with this person, what is your evaluation of his/her character?

Submitted by: ______

______(Phone)

______

______