National Honor Society Student Activity Information Form



National Honor Society Student Activity Information Form

|ID Number: |Grade: |

I. Co - Curricular Activities (Do not list classes. For example, Band is a class and Marching Band is an activity)

|Co-Curricular Activity |Years of Participation |Leadership Position Held |Accomplishments |Advisors |

| |9 |10 |11 |12 | | | |

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II. Sports / Athletics (School and Community)

|Sport |Years of Participation |Leadership Position Held |Accomplishments |Coach |

| | | |Awards / Activities | |

| |9 |10 |11 |12 | | | |

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III. Community Service / Volunteer Hours

|Community Service |Years of participation |# of hours given and dates|Description of duties performed|Contact person |

| | | | |and telephone # |

| |9 |10 |11 |12 | | | |

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National Honor Society Student Activity Information Form

IV. Leadership Skills (List all elected or appointed leadership positions or other positions of responsibility held in the school, community, or work activities. Only those positions in which you were responsible for directing or motivating others should be included.

|Leadership Position |Length of Time in Position |Activity or Organization |

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V. Work Experience (any paid employment outside of school)

|Type of Employment |Employer |Dates of Employment |

| | |Hours Per Week |

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VI. Honors, Awards, and Recognition

|Award |Date Received |Description |

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VII. Family Duties and Responsibilities (If applicable, describe any duties or responsibilities to your home and family which may influence your extra curricular involvement).

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National Honor Society Student Activity Information Form

VIII. Essay: Write a short essay explaining what “Honor” and the National Honor Society mean to you. Include why you feel you would like to be a member of the NHS and how you could contribute to the goals and standards of the organization. You may attach an additional page, if necessary.

I understand that completion of this form does not guarantee membership, but that I am being considered for membership in the National Honor Society.

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Candidate’s Name

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Parent/Guardian Signature

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