HLV Community Schools

National Honor Society

Information and Application Packet
Verification:
I understand that the completion of this form does not guarantee selection the National
Honor Society. My signature below testifies that all information presented in this packet
is accurate.
__________________________________________ ________________________
Student Signature Date
I hae read the information proided by my son!daughter on this form and can erify that
it is true" accurate" and complete in its presentation.
__________________________________________ ________________________
Parent/Guardian Signature Date
Directions
Deadline for submission of Application:
#. Application must be submitted by the deadline aboe to Mrs. $rams. N%
&A'( S)*MISSI%NS +I&& *( A,,(P'(-.
.. All sections of the Application must be completed. Please type or neatly
print all responses.
/. Include all pertinent information. 'he 0aculty ,ouncil will use this
information to assist with the selection process.
1. Additional pages may be attached if more space is re2uired.
3. ,ompletion of this application does not guarantee selection to the National
Honor Society.
Any 2uestions" contact NHS Adisor Mrs. $rams
3:20 p.m.- September 2, 2014
Membership in National Honor Society entails a commitment. Apply for membership only if you
are willing to participate in all planned NHS actiities.
I. Etra!Curricular Acti"ities:
!n chronological order" list all actiities in which you hae participated during high school.
!nclude clubs" teams" musical groups" etc." and ma#or accomplishments in each. Additional pages
may be attached if needed.
Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

II. Leadership #ositions:
!n chronological order" list all elected or appointed leadership positions held in school"
community" or wor% actiities. 'ist only those positions in which you were directly responsible for
directing or motiating others should be included. (or e)ample* class or club officer+ committee
chairperson" team captain" community leader.
Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

III. Ser"ice Acti"ities:
!n chronological order" list all serice actiities in which you hae participated. ,hese can be
serice pro#ects done with a group either in or out of school" or as indiidual pro#ects. Serice
actiities are those which are*
-. Done for or on behalf of others $not including family members&
.. Done with no compensation $monetary" goods" or serices&
/. Not re0uired $as a condition of membership or participation&
!f selected for membership in the National Honor Society" you will be re0uired to participate in
all serice actiities done by the organi1ation. See Mrs. Grams if you would li%e to list of
re0uired serice actiities.
Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

IV. $or% Eperience& 'eco(nitions& and A)ards:
!n chronological order" list any #ob e)periences" honors" or recognition that you hae receied
that support your nomination for membership in the National Honor Society. 2or% e)perience
may be paid or olunteer. Do not repeat participation listed in preious sections.

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

Actiity4
$rade4 5 #6 ## #. $chec% all grades that apply&
Accomplishments4

V. Essay:
Discuss how character" leadership" and serice has changed in your personal
deelopment oer the last year. Please use a separate piece of paper for the essay.
Completed Applications must be turned in to Mrs. Grams
by 3:20 p.m. Tuesday, September 2, 2014
0ormat 7e2uirements4
(ssay must be typed.
Heletica" ,ourier" or times New 7oman fonts
-ouble8spaced
#. point
(ssay includes introduction" body" and conclusion
Spelling and grammar is correct
No more than #36 words
Attach the essay to your completed application
Parents!$uardians of Student
9As you would like in the Induction Program" if student is selected:
______________________________ ____________________________