Application for National Honor Society Membership



Application for National Honor Society Membership – PART ICary Senior High School 2020-2021Directions: This digital or physical application is one of three parts to Cary High’s National Honor Society Application. This application is Part 1 and is made up of four sections. Please type or print neatly. Please do not be modest; Application Scorers will consider all the information as part of the evaluation process. Completion of this form does not guarantee selections.Section I: Administrative InformationFull name: FORMTEXT ?????Home Address: FORMTEXT ?????Cell phone number: FORMTEXT ????? E-mail Address: FORMTEXT ?????Weighted G.P.A. FORMTEXT ?????Grade Level: FORMDROPDOWN Section II: Extra-Curricular ActivitiesColumn 1Column 2Column 3Column 4Column 5ActivityGradeAccomplishments or Positions HeldName of advisor, coach, or another adult supervisorContact Information for the advisor in Column 4 (i.e. phone number or email) 91011 FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????List all activities, inside or outside of school, in which you have participated in during high school. Include clubs, teams, musical groups, sports etc. In Column 2, indicate in which grade you previously participated in each activity. Do not mark in the “11” column if you are a junior.Application for National Honor Society Membership – PART ICary Senior High School 2020-2021Section III: Leadership PositionsList all elected or appointed leadership positions held in school, the community, or work activities. Include only those positions in which you were directly responsible for directing or motivating others. In Column 2, indicate in which grade you previously participated in each activity and demonstrated leadership. Do not mark in the “11” column if you are a junior. Use the list given below to help you.A student who exercises leadership is:Resourceful in proposing new solutions, applying principles, and offering creative suggestions.Demonstrates initiative in promoting school activities.Exercises positive influence on peers in upholding school ideals.Contributes ideas that improve the civic life of the school.Delegates responsibilities to others.Exemplifies positive attitude.Inspires positive behavior in others.Demonstrates academic initiative.Successfully holds school offices or positions of responsibility; conducts business effectively and efficiently demonstrates reliability and dependability.Is a leader in the classroom and in other school or community activities.Is willing to uphold scholarship and maintain a loyal school attitude.Column 1Column 2Column 3Column 4Column 5ActivityGradeAccomplishments or Positions HeldName of advisor, coach, or another adult supervisorContact Information for the advisor in Column 4 (i.e. phone number or email) 91011 FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Application for National Honor Society Membership – PART ICary Senior High School 2020-2021Section IV: Service ActivitiesService generally includes those actions undertaken by the student that are done with, or on behalf of others without any direct financial or material compensation to the individual performing the service. In considering service, the candidate’s contributions to the school, to classmates, and the community are reviewed. In Column 2, indicate in which grade you previously participated in each service activity. Do not mark in the “11” column if you are a junior. Use the list given below to help you.The student who performs service:Volunteers and provides dependable and well-organized assistance, is gladly available, and is willing to sacrifice to offer assistance.Works will with others and is willing to take on difficult or inconspicuous responsibilities.Cheerfully and enthusiastically renders any requested service to the school. Is willing to represent the class or school in inter-class and inter-scholastic competition.Does committee and staff work without complaint.Participates in some activities outside of school, for example: Girl/Boy Scouts, church or religious groups. Volunteer services for the elderly, poor, or disadvantaged, etc.Shows courtesy by assisting visitors, teachers, and students.Column 1Column 2Column 3Column 4ActivityGradeName of advisor, coach, or another adult supervisorContact Information for the advisor in Column 3 (i.e. phone number or email) 91011 FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX FORMCHECKBOX FORMTEXT ????? FORMTEXT ????? ................
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