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HSHS NHS Application

National Honor Society Membership Application 2016-2017
Holly Springs High School

Step 1: READ APPLICATION completely. Print or type all information neatly.

Step 2: Eligibility

The National Honor Society is a national organization based on student scholarship as well as demonstrated leadership and commitment to service. Character is the fourth standard on which membership is based. Character is evaluated by the NHS Faculty Council by reviewing school disciplinary records and teacher input. For more information on how each of the pillars of National Honor Society will be evaluated in this application, please see page 2.

Membership Requirements:

  • Rising junior or senior
  • 3.6 weighted GPA
  • Evidence of leadership
  • Evidence of service
  • Evidence of strong character

Step 3: NHS Application Checklist – Documents that must be turned in by March 23rd at 2:45 pm:

  1. _____ Completed Application: page 3 of the application(including signatures of student and parent)
  2. _____ Personal Statement: page 4 of the application
  3. _____ Statement of Service form: page 5 (signed by service supervisor)
  4. _____ Statement of Leadership form: page 6 (signed by leadership supervisor)
  5. _____ Optional statementregarding prior disciplinary infractions. Attach statement to application.
  6. _____ The above documents must be complete and submitted in a packet to
    Ms. Traversi in Student Services by Wednesday, March 23rdat 2:45 pm.

You do not need to request a transcript. Student Services will add a current transcript to your application.

Questions? Contact the NHS Advisors or NHS Officers:

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HSHS NHS Application

Emily Felker,Advisor:
Jill Munchick, Advisor:
Alan Ellington, Advisor:
Maggie Redfield, President:
Jordan Stellar, Vice President:

Karina D’Abruzzo, Secretary:
KhaviKhuu, Communications:
OwaisMahmood, Service Chair:
Sarah Kreisler, Historian:

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HSHS NHS Application

National Honor Society Standards and Directions for completing attached documents

  1. Scholarship
    Requirement: 3.6 min. weighted, cumulative GPA (transcript will be provided by Student Services)
  2. Service
    Requirement and Verification: At least one example of community servicedemonstrating a commitment for a substantial period of time (at least 5 hours per semester) during high school must be documented on the “Verification Statement for Service” form.Service at school is only permissible if it is not required service for another HSHS Club (ex. DECA, HOSA, Key Club, etc.). Ifunforeseen circumstances prevent you from obtaining a signature, please contact the NHS advisor listed on page 1 of this application. (Note:Parent, relative, or student signatures on Verification forms are not acceptable for verification of Service. You must ask an adult advisor/supervisor to sign the Service form.)
  3. Leadership
    Requirement and Verification: At least one example of community or school leadership that involves a continuing commitment for at least 5 hours per semester during high school to be documented on the “Verification Statement for Leadership” form. You must use examples that are entirely separate from the Service activities listed in Section II. If circumstances prevent you from obtaining a signature, please contact one of the NHS advisors listed on page 1 of this application. (Note:Parent, relative, or student signatures on Verification forms are notacceptable for verification of Leadership. You must ask an adult advisor/supervisor to sign the Leadership form.)
  4. Character/Integrity(will be verified by HSHS staff after consideration of discipline records)
    Criteria: According to the National Honor Society Handbook, a 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
  • Demonstrates the highest standards of honesty and reliability
  • Cooperates by complying with school regulations concerning property, programs, office, hall, BYOD, etc.
  • Regularly shows courtesy, concern and respect for others
  • Observes instructions and rules, is punctual, and faithful both inside and outside the classroom
  • Has powers of concentration, self-discipline, and sustained attention as shown by perseverance and application to studies
  • Manifests truthfulness by acknowledging obedience to rules, avoiding cheating in student work, and demonstrating an unwillingness to profit knowingly by the mistakes of others
  • Actively helps rid the school of bad influences or negative environments

National Honor Society Membership Application

Student Name: ______Current Grade Level: ______

Student ID Number: ______Phone Number: ______

Email Address: ______

The HSHS National Honor Society is a group of motivated students of high academic standing who strive to utilize their abilities to make a positive contribution to the community around them. Please carefully review the standards below. NHS members must commit to each standard in order to remain in good standing. Failure to comply may result in dismissal as outlined in the NHS Bylaws.

  • Members must attend the Induction Ceremony on May 3rd, 2016.
  • Members may miss only one meeting per semester each year.
  • Members must complete and documentfive(5) volunteer hoursperquarter
  • Members must complete a minimum of one (1) hour in service as a peer tutor per quarter.
  • Members must participate in one (1) NHS group service projectper semester.
  • Members must maintain a weighted, cumulative Grade Point Average of 3.6.
  • Members must maintain good moral character.
  • Applicants must be a rising junior or rising senior.
  • Members are required to pay the yearly NHS dues set by the national organization in compliance
    with WCPSS School Board Policy.

The NHS Faculty Council will select members from all qualified applicants whose completed application includes documentation of leadership, scholarship, service, and character. Information from the application as well as input from the entire faculty and administration will be considered in the selection process. ______

I certify that all information I have provided in my application is original, factually correct, and honestly presented to the best of my knowledge.

Student signature: ______Date: ______

I have read the information provided by my student in this application and verify that it is his/her original
work, factually correct, and honestly presented.

Parent/Guardian signature: ______Date: ______

Personal Statement: Please write a concise paragraph that describes how one of thefour NHS standards is evident in your daily activities.Please type or use black or blue ink.

______
______
______

Student Signature: ______

Verification Statement for Service

Criteria: At least one example of community or school service that involves a continuing commitment for a substantial period of time (at least 5 hours per semester) during high school.(Service cannot be required for another HSHS Club.)
I, ______(student name), do affirm and avow that I did complete the following service activity on the date(s) listed below.

Project title: ______Date(s) of Project: ______

Specific volunteer work performed: ______

______Approximate total time spent: ______

TO BE WRITTEN BY THE STUDENT
Requirement: Submit a briefparagraph detailing your role(s) and responsibilities in the aforementioned activity. You may type/write the information in the space provided.

______

To the supervisor (who is not a parent, relative or another student):
By signing this document, you are agreeing that the student completed the activity described above as evidence of “service” and that they are advocating for themselves in this paragraph to the highest degree possible. Please note that this student is submitting an application for potential membership in the Holly Springs High School Chapter of the National Honor Society.

Name of Coordinator/Supervisor (please print clearly) ______

Signature of Coordinator/Supervisor: ______Date: ______

Supervisor’s phone number: ______Supervisor email: ______

Verification Statement for Leadership

Criteria: At least one example of community or school leadership that involves a continuing commitment for a substantial period of time, at least 5 hours per project, during high school.

I, ______(student name),do affirm and avow that I demonstrated leadership in the following activity, in my school or community, on the date(s) listed below.

Activity title: ______Date(s) of Activity: ______

Specific leadership office/role : ______

______Approximate total time spent: ______

TO BE WRITTEN BY THE STUDENT
Requirement: Submit a paragraph detailing your specific position(s) and responsibilities in the aforementioned activity and how you executed these responsibilities. You may type/write the information in the space provided.

______

To the supervisor (who is not a parent, relative or another student):
By signing this document, you are agreeing that the student completed the activity described above as evidence of “leadership” and that they are advocating for themselves in this paragraph to the highest degree possible. Please note that this student is submitting an application for potential membership in the Holly Springs High School Chapter of the National Honor Society.

Name of Coordinator/Supervisor (please print clearly) ______

Signature of Coordinator/Supervisor: ______Date: ______

Supervisor’s phone number: ______Supervisor email: ______

Timeline for National Honor Society Applications: Spring 2016

Applicants: Please keep this page for future reference.

  • February 10th: Applications available on HSHS & NHS websites and in Student Services
  • February 24thB lunch: Informational meeting for prospective new members in room 3636
  • March 23rdat2:45 pm: Application Deadline – application must be submitted to Student Services
  • Your application must be given to Ms. Traversi in person,not left on her desk. When you submit your application you will be given a receipt as a record of submission.
  • April 12th: Letters of invitation and letters of non-acceptance will be emailed.
  • April 19th: Deadline for appeals (denied applicants)
  • Appeals must be written and submitted to the advisor by 2:45 pm (by email or on paper)
  • April 26th: Responses to appeals will be emailed
  • May 3rd: National Honor Society New Member Induction, 7:00 pm

Applicants: Please keep this page for future reference.