National Honor Society Selection Procedure

(Revised 2007)

Name: ______Grade______Deadline: Sept. 30, 2009

Membership in the National Honor Society is earned by the effective demonstration of the four qualities held in high esteem by the Society. They are: Scholarship (commitment to learning), Service (willingness to work, without compensation for the benefit of those in need), Leadership (exerting a wholesome influence on the school and community), and Character (demonstration of respect, responsibility, trustworthiness, fairness, and citizenship)

I understand that completing this form does not guarantee selection to NHS, and that the information presented here is complete and accurate.

Student SignatureDate

Membership in the National Honor Society will be determined by the submission of a typewritten, one to two paragraph statement expressing why you feel you should be accepted into the National Honor Society and the following criteria: (High School refers to grades 9 – 12 only). A Selection Committee consisting of faculty will consider each application.

Grades: (18 Points maximum) A minimum GPA of 3.0 is mandatory.

3.80 – 4.00 15 pts______

3.60 – 3.7912 pts______

3.40 – 3.599 pts ______

3.20 – 3.396 pts ______

3.00 – 3.193 pts ______

GPA maintained for more than 1 year3 pts ______

References: (10 Points Maximum)

Two typed letters of reference attesting10 pts______

the good character of the nominee

(At least one from community).

Leadership (9 Points Maximum)

Class officer during high school

attendance. 1 pt______

Student council during high school

attendance.1 pt______

Acted as high school student council

officer at least once.2 pt______

Involved in community organizations

during high school attendance.2 pt ______

Community organization officer at

least once during high school career.2 pt ______

Athletic captain or club officer at least

once during high school career.1 pt ______

Specify the community organization(s) in which you are a member:

______

______

School Involvement during High School (Grades 9 – 12) (18 Points Maximum)

Athletics or cheerleading

Three years of high school3 pts______

Two years of high school 2 pts______

One year of high school1 pts______

Oral Interpretation/Drama

Three years of high school (9-12)3 pts______

Two years of high school 2 pts______

One year of high school1 pts______

Band

Three years of high school3 pts______

Two years of high school 2 pts______

One year of high school1 pts______

Choir

Three years of high school3 pts______

Two years of high school 2 pts______

One year of high school1 pts______

FFA

Three years of high school3 pts______

Two years of high school 2 pts______

One year of high school1 pts______

FCCLA

Three years of high school3 pts______

Two years of high school 2 pts______

One year of high school1 pts______

Service (20 Points Maximum)

Community Service

Five examples of community service10 pts______

Four examples of community service8 pts______

Three examples of community service6 pts______

Two examples of community service4 pts______

One example of community service2 pts______

Other School Service

Five examples of school service10 pts______

Four examples of school service8 pts______

Three examples of school service6 pts______

Two examples of school service4 pts______

One example of school service2 pts______

Character (25 Points Maximum)

No documented violations of school

rules or other activities of questionable

character.25 pts______

One documented violation of school

rules or other activities of questionable

character.15 pts______

Two – three documented violations of

school rulesor other activities of

questionable character.5 pts______

Four or more documented violations

of school rules or other activities of

questionable character.0 pts______

Total Points ______/ 100 points

Nominee should have at least seventy-five points for serious consideration

If selected, members of the National Honor Society must maintain the high standing of which they were selected (Scholarship, Service, Leadership and Character) and will be expected to be active members (attending meetings, participate in NHS sponsored activities, etc)

I have read the information provided by my son/daughter on this form and can verify that it is true, accurate and complete in its presentation.

Parent SignatureDate

Community Service

Date(s) of Service

/ Place service performed / Type of service performed

School Service

Date(s) of Service

/ Place service performed / Type of service performed