NationalHonorSociety of SportsMedicine- Klein Collins Chapter
FULL Printed NameGrade_Date
NationalHonorSocietyofSportsMedicine
Klein Collins Chapter- Application
TheKlein Collins HSchapteroftheNationalHonorSocietyofSportsMedicineis acceptingapplicationsforthe______schoolyear.
ApplicationDue to KC Athletic Training Room by: ______
Thepurposeofthisorganizationistocreateenthusiasmforscholarshipintheareaofsportsmedicineandotherfieldsdirectlyrelatedtosportsmedicine,tostimulateadesiretorenderserviceinthecommunity,topromoteleadership,andtoassistinthedevelopmentofcharacterinthestudentsofsecondaryschools.
To be eligible for membership the candidate must be a junior or senior. Freshmen & Sophomores are not eligible. Sophomores can apply in the 4th quarter of their sophomore year for initiation in the beginning of their junior year.
The national minimum standard for scholarship shall be a cumulative scholastic average of at least 82 percent, B, or 3.2 (on a 4.0 scale) or the equivalent standard of excellence and a 3.5 (on a 4.0 scale) in all sports medicine program classes. Candidates shall then be evaluated on the basis of service, leadership, and character.
Allinterestedstudentsareencouragedtocompleteamembershippacket (Attached).
Allpartsofthisformmustbecompleted.Donot leaveanythingblank.Pleasefollowallofthedirectionscarefullytoassureproperconsideration.Yourapplicationwillreflectyouraccomplishmentsinscholarship,service,activitiesandleadership.
Submittinganapplicationdoesnotguaranteemembership.
IfyoubecomeanNHSSMmember,youareexpectedtoattendallmeetings.FailuretoactivelyparticipatewillresultinlossofNHSSMrecognition.Youarealsoexpectedtoparticipateinindividualandgroupserviceprojects
Thisapplicationincludesa scholastic requirement & threeparts:
PartI-Includesalistofextracurricularactivities.
PartII-Service-Pleaselistallserviceexperiences.
PartIII-Leadership-Writeaboutyourleadershipability/potential.
*Confidentialinformationaboutcharacterfromthefacultyandadministrationmayalsobeconsidered.Thisinformationwillbeprovidedtothefacultyadmittingcommittee.
NationalHonorSociety of SportsMedicine- Klein Collins Chapter
Scholastic Component
Cumulative scholastic average: of at least 82 percent, B, or 3.2 (on a 4.0 scale) or the equivalentand a 3.5 (on a 4.0 scale) in all sports medicine program classes.
**Attach your Grading Transcript report to this application; reflecting your GPA
Your Cumulative Grade point average: ______/ grade point scale: ______
Your Cumulative Grade point average in all sports medicine related courses: ______
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NationalHonorSociety of SportsMedicine- Klein Collins Chapter
PART I-Extracurricular ActivitiesComponent
-Pleaselistallextra-curricularactivitiesthatyouhaveparticipatedinduringhigh school:
Provide additional paper if needed
Activity DatesInvolved
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NationalHonorSociety of SportsMedicine- Klein Collins Chapter
FULL Printed NameGrade_Date
NationalHonorSociety of SportsMedicine- Klein Collins Chapter
PART II-Service Component
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NationalHonorSociety of SportsMedicine- Klein Collins Chapter
FULL Printed NameGrade_Date
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NationalHonorSociety of SportsMedicine- Klein Collins Chapter
FULL Printed NameGrade_Date
Allservicehourslistedbelowmustbecompletedandverifiedbythetimetheapplicationisdue.Schoolservicehoursmaybereported,as wellasvolunteerworkdoneforoutsideorganizationssuchasscouting,YMCA,etc.
Sophomores-20hoursJuniors-30 hours
*Ifyouareajunior,yoursophomorehoursmust becomplete.If youareasenior,yourjuniorhoursmustbecomplete.Schoolhoursmaybeverified perfacultyadvisor.
Organization / DatesofService / DescriptionofActivities / SignatureofSupervisorPage 1 of 4
NationalHonorSociety of SportsMedicine- Klein Collins Chapter
FULL Printed NameGrade_Date
NationalHonorSociety of SportsMedicine- Klein Collins Chapter
PART III–Leadership Component
Pleasewritea300word typed essay(about¾-to-onepage)thatprovidesevidenceofleadership.Therearemanywaystodemonstrateleadership;in yourfamily,informalgroupsanddailylifeexperiences.Leadershipdoesnotnecessarilymeanholdinganoffice,andthisisnotaprerequisitetomembership.
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