National Junior Honor Society (NJHS) Application Packet Cover Page

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National Junior Honor Society (NJHS) Application Packet Cover Page Your completed application is due no later than Monday, November 21, 2016 (Hand deliver your application packet to a staff member in the main office). Make sure your name is on every page! Staple in the upper left hand corner. Please assemble your packet in the following order: Application packet cover page THIS page is the cover page. *Be sure to sign and date this page. Student Activity Information Sheet Essay I understand that completion of this packet does not guarantee selection into the National Junior Honor Society and I verify that all information presented is both accurate and complete. All application requirements have been submitted. I understand that, if any portion of the packet is not submitted before the November 15 th due date, I do not qualify for consideration into NJHS this winter. (PRINT) Student Name (first & last) Student Signature Grade Date ----------------------------------------------------------------------------------------------------------------- *Internal use, only. Date received: Received by (initials):

Name of Candidate: Grade: National Junior Honor Society Student Activity Information This section asks that you reflect on your personal qualities, contributions, and successes as they pertain to the five pillars of National Junior Honor Society: Scholarship Leadership Service Character Citizenship Student Activity Information Sheet Directions: Please complete all sections of this sheet Please print clearly or type (you can download this form off the Butcher MS2TC or MSVPA website if you would like to type your answers) Tell us about yourself, don t be modest; Showcase your contributions and highlight your personal qualities. If you have more items than space provided, please list only the most important. You can use your mandatory essay portion for details and other accomplishments that you would also like to share. 1. Scholarship Neatly list all honors and awards earned for academic excellence in the last two years. (You may include honor roll, straight A s, and your GPA.) Include how many above grade level courses you have taken in the last two years. Honor or Award Date Ex. Earned all s A s 1 st quarter of 6 th grade

Name of Candidate: Grade: 2. Co-Curricular Activities (space also provided on the next page). Neatly list all in-school and community activities in which you have participated in the past two years. Include clubs, teams, musical groups, major accomplishments, etc. Activity Accomplishments Year Ex. Recycling Club Made posters & collected recycling weekly 6 th Grade 3. Leadership Neatly list all leadership experience you have had at school or in the community in the last two years. Include positions in which you were responsible for directing or motivating others. (Ex: elected position of the SGA, club officer, scouting, youth group, team captain, etc.) Leadership Role Accomplishments Year Ex. SGA Class Representative Raised $200 for Pennies for Patients 5 th Grade

Name of Candidate: Grade: 4. Service Neatly list all service activities in which you have participated in the last two years. These can be service projects with a group in or out of school or done as an individual. Generally, these are done for or on the behalf of others (not including immediate family) for no compensation (payment). Please include the name and contact information of an adult who can verify your service activities. Service Activity, Organization, Dates/# of Contact Contact Phone Number or and Location Ex. Collected and distributed coats at Agape Homeless Shelter, Silver Spring hours November, 5 hours; December 5 hours Person Joe Smith Email joesmith@agapeshelter.org National Junior Honor Society Essay Question: Character and Citizenship Think of three character traits you possess. Examples could include: bravery, joyfulness, punctuality, kindness, loyalty, cheerfulness, honesty, thankfulness, patience, humor, sharing, understanding, tolerance, cooperation, perseverance, fairness, generosity, etc.. Briefly explain how you have exhibited these three characteristics and how they have benefited your school and community. Please provide a few descriptive examples to support each trait (you can use your Student Activity Information Sheet to help you!) Next, explain how these character traits could serve your school and community if you are inducted into the National Junior Honor Society. Don t be bashful when explaining your accomplishments; be proud of what you have done! Essay guidelines provided on the next page.

Guidelines: Essay format (4 paragraphs): -Introductory sentence/s -Paragraph 1-Your three character traits and supporting examples -Paragraph 2-Connection to how these traits will benefit others as a NJHS member -Concluding sentence/s Please type your essay, double-spaced, in 12-point font. Please keep your essay to approximately 150-250 words (this is about 1 to 1 ½ pages double spaced) To check your word count in Microsoft Word, highlight the text, go to Tools, and choose Word Count Be creative!!! Proofread!!!!! Use proper grammar, punctuation, capitalization, and spelling. Make sure your first and last name and grade level are in the top right corner of your essay.

Once you have completed the above requirements and submitted your application packet to the main office by MONDAY, NOVEMBER 21, 2016, Ms. Spahich will circulate the following teacher recommendation form on your behalf. Below you will find a sample recommendation form. Please do not take this form to your teachers. Thank you for applying to Butcher Educational Center s chapter of the National Junior Honor Society. Invitations to qualifying inductees will be mailed home on Friday, December 2, 2016. Best wishes! ***SAMPLE*** Name of Candidate: Grade: Character is who you are when no one is looking. Citizenship is your commitment to your school, neighborhood, city, state, nation, and world. National Junior Honor Society Teacher Recommendation Form This student is eligible for membership in the National Junior Honor Society (NJHS). Students must obtain four teacher signatures, two of which must be from current or last year s core (English, Reading, Math, World Studies, or Science) teachers, one from a past core teacher, and one from a current or past elective teacher. Students, please be considerate by requesting recommendations at a convenient time. Selection for membership is determined by the Faculty Council and is based on outstanding scholarship (3.85 cumulative GPA), citizenship, character, leadership, and service. Once selected, members have the responsibility to continue to demonstrate these qualities. If you would recommend the candidate, according to the above stated qualifications- without reservation, please sign in the space below. 1. I recommend this candidate, without reservation, for membership in the NJHS. Current or last year s Core Subject Taught

***SAMPLE, CONTINUED*** 2. I recommend this candidate, without reservation, for membership in the NJHS. Current or last year s Core Subject Taught 3. I recommend this candidate, without reservation, for membership in the NJHS. Past Core Subject Taught 4. I recommend this candidate, without reservation, for membership in the NJHS. Current or past Elective Subject Taught 5. I recommend this candidate, without reservation, for membership in the NJHS. Current or past Elective Subject Taught 6. I recommend this candidate, without reservation, for membership in the NJHS. Current or past Elective Subject Taught 7. I recommend this candidate, without reservation, for membership in the NJHS. Current or past Elective Subject Taught