Please Use Additional Sheet with Signature Line As Needed

Please use additional sheet with signature line as needed.

Eastlake High School’s

National Honor Society Application2016 – 2017

Name: ______

Address: ______

City, State, Zip Code: ______

Grade Classification: ______Phone: ______

You must meet the academic requirement of a GPA of 91 or above. Once you have met this minimum requirement, you are welcome to apply regarding the standards of character, leadership and service.

All information must be either typed or written legibly.

The following information is required:

*Completed application and personal statement

*Three teacher recommendation forms

*Copy of transcript showing a current cumulative minimum GPA of 91 or higher

*30 hours of community service by deadline

*Student and Parent signatures

Deadline to submit the application is ______in Student Activities Room or Counselors.

I have read and, to the best of my knowledge, have completed the attached information packet. I understand that returning this information packet puts my name in consideration for membership but does not guarantee an invitation to become a member.

Students Signature ______Date ______

As the Parent/Guardian of ______, I am aware of the requirements for selection and possible membership to the Eastlake Chapter of the National Honor Society. I also allow permission for my child’s picture to be used in the school/district website.

Parent/Guardian Signature ______Date ______

13000 Emerald Pass, El Paso, Texas 79928Page 1

Please use additional sheet with signature line as needed.

Extracurricular Activities

(Please list your principal extracurricular activities beginning with ninth grade to the most current. Include specific events and/or major accomplishments such as musical instruments played, varsity letters earned, etc.)

OrganizationYear/positionDescription of ActivitiesHrs per week & Years Total

Academic Honors and leadership Awards

(Briefly describe any other scholastic distinctions or leadership honors you have wond or earned beginning with ninth grade to the most current. Ex: Science Fair or department awards)

Community Service Activities

(Please list community service activities you have done on behalf of others without any material compensation to the individual performing the service, beginning with ninth grade to the most current.)

Service/OrganizationDescriptionDates Total Hrs

Other Activities

DescriptionDates Total Hrs

PERSONAL STATEMENT:

This personal statement is a very important part of this application in that it helps us become acquainted with you in ways different from courses, grades, test scores, and other objective data. It enables you to demonstrate your ability to organize thoughts and express yourself. Use only 1 page typed for your personal statement or the space below. Must be typed and signed by applicant.

We know you are a successful student. Tell us more about who you are as a person – what makes you different or unique.

My signature below indicates that all information in my application is complete, factually correct, and honestly presented.

Signature ______Date ______

13000 Emerald Pass, El Paso, Texas 79928Page 1