National Junior Honor Society - Wappingers Central School ...



National Junior Honor Society

Student Activity Information Form

Directions: Please complete all sections. Do not be modest. Every bit of information can be used by the faculty council to assist with the selection process. Completion of this form does not guarantee selection. This form must be returned to Mrs. Salvatori in room 2025 by Friday, April 12, 2013. There can be no exceptions to this.

Administrative Information: (Please Print Neatly)

Name: ____________________________

Co-curricular Activities:

List all activities in which you have participated during Junior High School. Include clubs, teams, musical groups, etc., and major accomplishments in each.

|Activity |7th Grade |8th Grade |Accomplishment |

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Leadership Positions:

List all elected or appointed leadership positions held in school, community, or work activities. Only those positions in which you were directly responsible for directing or motivating others should be included. For example: elected student body, class, or club officer; committee chairperson; team captain; newspaper editor; work area manager; or community leader.

|Leadership Position |7th Grade |8th Grade |Activity / Organization |

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Community Activities:

List community activities in which you have participated and note any major accomplishments in each. These should be any activities outside of school in which you participated for the betterment of your community. For example: church groups; clubs sponsored outside the school; Boy/Girl Scouts; volunteer groups or community art endeavors.

|Community Activity |7th Grade |8th Grade |Hrs/Wk |Accomplishments |

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Work Experience, Recognition, and Awards:

List below any job experiences, honors, or recognition you have received which support your bid to be selected for membership in the National Junior Honor Society. Work experience may be paid or volunteer.

|Job / Activity |7th Grade |8th Grade |Hrs/Wk |Recognition /Awards |

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Character

Positive aspects of character including honesty, responsibility, courtesy, tolerance, respectful attitude, and cooperation should be exemplified. Faculty and staff will evaluate each student as to how well the student models these qualities:

➢ Takes criticism willingly and accepts recommendations graciously

➢ Consistently exemplifies desirable qualities of behavior (cheerfulness, friendliness, poise)

➢ Upholds principles of morality and ethics

➢ Demonstrates the highest standards of honesty and reliability

➢ Regularly shows courtesy, concern, and respect for others

➢ Observes instructions and rules, is punctual, and is faithful both inside and outside the classroom

➢ Has powers of concentration, self-discipline, and sustained attention as shown by perseverance and application to studies

➢ Manifests truthfulness in acknowledging obedience to rules, avoiding cheating in written work, and showing unwillingness to profit by the mistakes of others

➢ Actively participates in promoting a positive school environment

Essay

Please attach an essay answering the following question:

How do I exemplify the qualities of leadership, character, service and citizenship (the pillars of the National Junior Honor Society), in and outside of school?

The criteria for the essay:

• One typed page

• Single space

• 12 point, Times New Roman

If you have any questions regarding the above criteria please see Mrs. Salvatori (room 202).

I understand that I have met the first qualification for National Junior Honor Society Membership. I realize that I am responsible for meeting all required deadlines and that if I fail to do so I will be automatically eliminated from the application consideration process. Additionally, I realize that just because I am academically qualified it does not mean that I am accepted as a member in the WJHS National Junior Honor Society.

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Student Signature Date

 

I recommend that the student name above be considered for NJHS based on their citizenship, character, leadership, service, and academics. If you have any questions about this student, please see me.

 

______________________________________ ________________

Teacher Signature Date

 I have read the information provided by my son/daughter on this form and

can verify that it is true, accurate, and complete in its presentation.

______________________________________ ________________

Parent Signature Date

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