APPLICATIONS ARE DUE BY 2:25 PM ON FRIDAY, MARCH 16, 2018

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1 Directions: This application must be TYPED. Handwritten applications will not be considered. Complete ALL of the light-blue highlighted areas of this form (be sure to type) Print out your application (DO NOT include this page or the last page when turning in your application). Print your name and sign the application in Part I. Have your parent/guardian print their name and sign the application in Part II. Have your guidance counselor write in your GPA and sign the application in Part III. Have your teachers write in your first semester grade and sign the application in part IV, as well as verify course enrollment. Have adult advisors (not parents) sign to verify information in Part V and Part VI. Attach the essay from Part VIII and the paragraph for Part IX to the application. PAPERPCLIP all pages of the application together. Turn the application in to Ms. Schweizer s mailbox or bring to her in room 711. TO APPLY: You must be a current sophomore or junior. You must have acquired a cumulative 3.2 grade point average through first semester of the current school year. You must not have any Honor Code violations. You must not have had any discipline infractions during this school year. You must have shown evidence of participation in school and/or community activities. You must have shown evidence of service to the school and/or community. You must have shown evidence of school and/or community leadership. You must have demonstrated good character. IF CHOSEN, you must: attend the Graduation Rehearsal Monday, June 11 th, at 8:00 pm at the VBCC attend and marshal the Graduation Ceremony Tuesday, June 12 th (time TBD) at VBCC attend N.H.S. meetings, be an active participant in the club's activities, and maintain standards of scholarship, service, leadership, and character required by the society. APPLICATIONS ARE DUE BY 2:25 PM ON FRIDAY, MARCH 16, 2018 ******INCOMPLETE OR LATE APPLICATIONS WILL NEITHER BE ACCEPTED NOR CONSIDERED ******** Completion of this form is necessary for selection yet does not guarantee selection. Any section that is left blank without subsequent explanation will be considered invalid. Page 1 of 7

2 Name Cell Phone Home Phone Current Grade Level Address Street Address Apt Number City State Zip Mother s Name Father s Name Mother s Phone: Father s Phone: I. I,, understand that completing this (Student name) form does not guarantee selection to NHS, and I have provided accurate information on this form. Student Signature Date II. I,, have read the information (Parent/guardian name) provided by my son/daughter on this form and can verify that it is true, accurate, and complete in its presentation. Parent/Guardian Signature Date III. I have verified that this student has a GPA of, cumulative through school year. Guidance Counselor Signature Date Page 2 of 7

3 IV. SCHOLARSHIP Student show scholarship by encompassing a variety of academic activities. A GPA of 3.2 must be met and maintained, and higher level learning must be pursued, integrated and applied. PRESENT COURSE SCHEDULE: List your present course schedule. Type in your classes and room numbers. TEACHERS will handwrite the first semester grade and provide a signature for verification. BLOCK CLASS FIRST SEMESTER TEACHER SIGNATURE GRADE 1A 2A 3A 4A 1B 2B 3B 4B Rigorous course subjects are important in showing scholarship. Indicate any of the following courses in which you have previously been enrolled or are currently enrolled and have the teacher for that course sign to verify your enrollment. Course Physics Math Analysis Foreign Language 4 Foreign Language 5 Teacher Signature AP Courses Teacher Signature AP Courses Teacher Signature Honors Courses Teacher Signature Others Teacher Signature Page 3 of 7

4 V. LEADERSHIP - Student leaders are those who are resourceful, good problem solvers, promoters of school activities, idea-contributors, dependable, and persons who exemplify positive attitudes about life. Leadership experiences can be drawn from school or community activities while working with or for others. List all activities in which you have participated beginning with 9th grade, being sure to indicate during which grade(s) you participated. Include clubs, teams, musical groups, committees, scouting activities, youth groups, etc., in and out of school. When applicable, list any and all elected or appointed leadership positions held in which you were responsible for directing and motivating others. Indicate during which school year(s) you participated in the activity. Have the adult advisor (not your parent) verify this information. The committee recognizes that it might be difficult to obtain verification, but the committee expects you to put forth reasonable effort to obtain these signatures of verification. GRADE(s) ACTIVITY LEADERSHIP ROLE VERIFICATION Comments to be considered: Page 4 of 7

5 VI. SERVICE This quality is defined through the voluntary contributions made by a student to the school or community, done without compensation and with a positive, courteous, and enthusiastic spirit. List any examples of service to the community that you have provided beginning with 9th grade, being sure to indicate during which grade(s) you participated. This section may reflect activities which serve to meet the needs of the school or community that you completed outside of school or through school organizations. For example, you might include such activities as serving meals to the homeless, cleaning an area of the community, or performing other voluntary activities. Have the adult advisor (not your parent) verify your involvement. Attach an additional sheet if necessary. The committee is looking for students who demonstrate a commitment to service (through the hours they have dedicated) as well as diversity of service; this encompasses serving through varied organizations and projects. GRADE(S) DESCRIPTION OF SERVICE ACTIVITY TIME INVOLVED (total hours) VERIFICATION Comments to be considered: Page 5 of 7

6 VII. CHARACTER RECOGNITION AND AWARDS List below any honors or recognitions you have received during grades 9, 10, and 11 that support your bid to be selected for membership in the National Honor Society. Attach an additional sheet if necessary. GRADE(S) TITLE OF RECOGNITION OR AWARD YEAR(S) RECEIVED Comments to be considered: Page 6 of 7

7 VIII. CHARACTER ESSAY The student of good character upholds principles of morality and ethics, is cooperative, demonstrates high standards of honesty and reliability, shows courtesy, concern, and respect for others, and generally maintains a good and clean lifestyle. Explain why you believe you are a good candidate for National Honor Society. Select one of the four requirements (character, leadership, scholarship or service) for National Honor Society and construct a narrative essay illustrating why, from your experience, you are committed to that quality. Please keep in mind that the selection committee will use this essay, recommendations from faculty, and the information provided on this application as the basis for selection. Therefore, the care with which you complete this application and this essay will serve as a reflection of you. Your essay should be typed and ATTACHED TO THIS APPLICATION. Failure to complete this essay will constitute an incomplete application, which cannot be considered for acceptance. IX. Brief Narrative of You: In the event that you should be selected for membership, write a brief paragraph (4-8 sentences) about yourself that may be read in front of an audience. This paragraph should include your current participation at Bayside High School and the community, hobbies, the college or university at which you plan to attend after graduation, your course of study in college, and your goals for the future. This should be typed on a separate sheet of paper than your character essay. Remember, this is to be read to the audience at the induction ceremony make it fun and interesting! If you are selected for membership, you and your parent(s) will be invited to the induction ceremony scheduled for: **Tuesday, April 17, 2018 at 6:00 pm in the auditorium.** You will be notified THAT MORNING in a secret tapping ceremony that you are being inducted into the National Honor Society! Good luck! Page 7 of 7