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National Honor Society Application Instructions
Applications are due March 22nd to the Main CHS Office
Students are invited to apply for Canby High School’s National Honor Society chapter if they are a sophomore or a junior and meet the following criteria after the completion of the second term in that school year:
Sophomore / Junior3.7 cumulative GPA
4 credits (8 classes) of the following courses
Advanced Freshman English
Advanced Geometry
British Literature
Any class designated “Honors” / 3.5 cumulative GPA
3 credits (6 classes) designated “Honors”
Application Requirements:
- Your unofficial transcript with completed worksheet outlining qualifying courses
- 2 staff references
- Completed service and leadership worksheets—please type all activities into the worksheet
- Personal statement (approximately 200 words) addressing one of the following prompts:
How do the pillars of the NHS (scholarship, character, service and leadership) fit into your future goals?
OR What sets you apart from the other applicants?
The faculty review committee will consider your application’s merits by these criteria:
- Scholarship—The committee considers your cumulative GPA and courses completed
- Character—The committee considers each applicant’s integrity and demonstrated ability to follow the guidelines of the National Honor Society.
- Service and Leadership—The committee examines your service/leadership to both your school and community. It looks for voluntary service/leadership as opposed to that may be required by a coach, parent or adviser.
- Personal Statement—the committee will evaluate your statement for content and writing conventions.
After carefully considering the above criteria, the Faculty Review Committee will act upon your application in one of two ways:
- Acceptance. You have satisfactorily met the necessary criteria. You will be invited to Inductions, which will take place at the Academic Awards Ceremony in April.
- Non-Acceptance. You did not satisfactorily meet the criteria for the National Honor Society. If you are a sophomore, you are encouraged to reapply the following year.
Name:
______
ID Number:
______
The National Honor Society, Charles McKenzie Chapter
/ CANBY HIGH SCHOOLHOME OF THE COUGARS
Unofficial transcript go here:
The National Honor Society, Charles McKenzie Chapter
/ CANBY HIGH SCHOOLHOME OF THE COUGARS
Course Worksheet
Using the information on your unofficial transcript, fill out the qualifying courses.
School Year Completed / Grade Completed / Course Title / Credits EarnedExample: 2016-17 / Freshman / Advanced Freshman English / 0.5
The National Honor Society, Charles McKenzie Chapter
/ CANBY HIGH SCHOOLHOME OF THE COUGARS
Staff Reference for: ______
In what capacity do you know this student? ______
Please rate the student in the following areas from 1 (low) to 5 (exemplary).
Academic Integrity / 1 / 2 / 3 / 4 / 5 / N/ABehavior / 1 / 2 / 3 / 4 / 5 / N/A
Work Ethic / 1 / 2 / 3 / 4 / 5 / N/A
Classroom Leadership/School Leadership / 1 / 2 / 3 / 4 / 5 / N/A
Trustworthiness / 1 / 2 / 3 / 4 / 5 / N/A
Comments or concerns:
Staff Name (Printed): ______
Staff Signature: ______Date: ______
Staff Reference for: ______
In what capacity do you know this student? ______
Please rate the student in the following areas from 1 (low) to 5 (exemplary).
Academic Integrity / 1 / 2 / 3 / 4 / 5 / N/ABehavior / 1 / 2 / 3 / 4 / 5 / N/A
Work Ethic / 1 / 2 / 3 / 4 / 5 / N/A
Classroom Leadership/School Leadership / 1 / 2 / 3 / 4 / 5 / N/A
Trustworthiness / 1 / 2 / 3 / 4 / 5 / N/A
Comments or concerns:
Staff Name (Printed): ______
Staff Signature: ______Date: ______
The National Honor Society, Charles McKenzie Chapter
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List all service activities in which you have participated and note any major accomplishments in each. These should be any activity outside of school in which you participated for the betterment of your community. For example: church groups, clubs sponsored outside of the school, Boy or Girl Scouts, volunteer groups or community art endeavors.
Service Activity(in and out of school) / 9 / 10 / 11 / 12 / Brief Description / Adult Sponsor Name / Hours
Leadership Positions
List all elected or appointed leadership positions held in school, community or work activities. Only those positions in which you are or were directly responsible for directing or motivating others should be included. For example: elected student body, class or club officer, committee chairperson, team captain, newspaper editor, work area manager, or community leader.
Leadership Position(in and out of school) / 9 / 10 / 11 / 12 / Activity/Organization / Est. Hours
The National Honor Society, Charles McKenzie Chapter
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Personal statement (approximately 200 words) addressing one of the following prompts:
How do the pillars of the NHS (scholarship, character, service and leadership) fit into your future goals?
OR What sets you apart from the other applicants?
National Honor Society Application Rubric
Student Name: ______
Directions: Indicate the score that best describes the information provided in each section of the application. Then, add the scores and write in an overall score above.
A score of 12 or higher, with no individual category scoring lower than a 2, is a satisfactory score.
Part 1: Leadership4 / 3 / 2 / 1
The student exercises leadership in school or outside of school. She/he works to be a positive influence on his/her peers and in turn, is regarded positively by peers. / Student has led in at least one area, perhaps temporarily, such as chairing a committee in an organization. Student has shown he/she is dependable, responsible, and positive. He/she is a positive influence on others and contributes to the well-being of the school. / He/she is dependable and responsible but may hesitate to demonstrate initiative or contribute ideas. The student is easily influenced by others rather than being willing to influence others in a positive fashion. / The student has no indication that he/she has accepted any kind of leadership role, formal or informal.
Part 2: Service
4 / 3 / 2 / 1
The student willingly volunteers for services, both in organized activities and in informal situations. He/she demonstrates courtesy, respect, dependability and enthusiasm and meets: Sophomore = 16+ hours, Junior = 21+ hours / The student helps with serving others but doesn’t appear to have a direct impact (helping out with a one-time event, for example) and meets: Sophomore = 11-15 hours, Junior = 16-20 hours / The student renders service to others but usually only when asked. Service appears to be all one-time event situations and meets: Sophomore = 6-10 hours, Junior = 11-15 hours / The student has not indicated any service activities or shows the following hours: Sophomore = 0-5 hours, Junior = 0-10 hours
Part 3: Character
4 / 3 / 2 / 1
The student demonstrates character in the following six qualities: Respect, responsibility, fairness, trustworthiness, caring and citizenship. The student upholds the highest standards of honesty and is reliable. He/she shows high standards for character both inside and outside of the classroom. / The student is more often than not demonstrated the six qualities of character and generally makes choices that reflect these standards for morality, ethics and respect for authority. He/she is truthful, cooperative, courteous and respectful. / The student understands the qualities of character and in guided/supervised situations will make choices that reflect high standards. His/her behavior at school, work, church or home may not be consistent with behavior in other circumstances. / The student’s behavior, attitude and choices reflect negative character traits. He/she shows little regard for authority or for principles of morality and ethics and is a negative influence on his/her peers.
Part 4: Personal Statement
4 / 3 / 2 / 1
Thoughtful, insightful, succinct and adds to overall impression of the student. Free of convention errors. Neatly typed. Signed at the conclusion. / Clearly written and neatly typed. Gives helpful information but there are two or three convention errors. The statement is overly general. Signed at the conclusion. / Clearly written (hand written or typed) but tends to repeat rather than add additional information or insight. Not signed at the conclusion. / Hand written and does not add to overall impression of the student. Hastily put together. Not signed at the conclusion.
The National Honor Society, Charles McKenzie Chapter