North East Independent School District



__ _ ___ -PAGE 1-(Last Name) (First Name)(Student ID#) (Grade Level)2020-2021 CAMPUS NATIONAL JUNIOR HONOR SOCIETY NOMINEE APPLICATION FORMCover PageComplete this Nominee Application Form thoroughly and carefully; it should be typed to the highest extent. All information must be printed neatly and legibly with BLUE OR BLACK INK ONLY. Include all information that might aid in the consideration of you as a candidate for membership in the National Junior Honor Society. Applications that do NOT follow the attached directions will NOT be considered. Incomplete forms demonstrate a lack of genuine interest or poor planning which will jeopardize selection. You are responsible for completing this form and returning it to SPONSOR in room ROOM NUMBER before the deadline which is DAY & DATE no later than TIME OF DAY. Completion of this application form does NOT guarantee selection. When you submit this application, you are agreeing to the National Junior Honor Society selection process, which includes the following: verification of unweighted overall GPA, administration’s evaluation of conduct, faculty council’s evaluation of your Nomination Application Form, and the confidential evaluation by your teachers.You and your parent/guardian must sign this form to indicate that you agree to be evaluated and you agree to accept the decision of the faculty council in determining membership selection. Applications without these signatures will not be considered. Student Signature____________________________ Date of Student Signature____________________________________Parent/Guardian Signature_____________________________ Date of Parent/Guardian Signature Student Cell Phone Number_______________________________________ Student Email AddressParent/Guardian’s NameParent/Guardian AddressZip Code ________________________________________Parent/Guardian Phone # Parent/Guardian Email Address-PAGE 2-Nominee Application Form ChecklistPlease follow ALL of these directions to ensure you have a completed application. All information needs to be valid and correct to the best of your knowledge. Please do not provide any inaccurate information. Only leave something blank if it does not apply to you. PARENTS MAY ONLY SIGN AS A SPONSOR FOR ACTIVITIES DURING THE 2020 CALENDAR YEAR. FOR 2018-19 PARENTS MAY NOT SIGN AS A SPONSOR/SUPERVISOR.PAGE 1 - Complete Nominee Application Form Cover PageFill in your information at the top of the first page.Fill in your Parent/Guardian’s information.Fill in your current schedule.Applications without parent/student signature WILL NOT BE CONSIDERED.PAGE 4 – Complete the Co-Curricular/Extracurricular/Activities* SectionInput ALL co-curricular/extracurricular/activities you have participated in the last 2 school years. These are activities NOT within normal school hours for 2018-19 Activities. 2020 Activities during school hours may be considered. Include descriptions and names of sponsors. You can add lines/pages if you need to. Follow the descriptions below for input in this Activity section:The Number of Activities is calculated by Semester for the typical hours spent per week for that Activity. There are 3 Semesters: School Fall Semester, School Spring Semester, Summer Semester.0-5 typical hours spent at Activity per week - 1 is the number of marks/tasks allotted for that Semester6-10 typical hours spent at Activity per week - 2 is the number of marks/tasks allotted for that Semester11-15 typical hours spent at Activity per week - 3 is the number of marks/tasks allotted for that Semester16+ typical hours spent at Activity per week - 4 is the number of marks/tasks allotted for that SemesterIf the co-curricular/extracurricular/activity is sponsored by a campus faculty member, you MUST get the sponsor in charge to sign on Signature line. Email address is the only thing required for NEISD employees for the Contact Info Column. If not a campus faculty member, put Sponsors Phone # and Email address in the contact information column AND attach an email from the sponsor confirming this activity (Return Email should be visible on printed copy) Signature is optional. Email is REQUIRED for all NON-campus Faculty Sponsors. PARENTS MAY ONLY SIGN AS A SPONSOR FOR 2020 ACTIVITIES.* DEFINITIONS: Co-curricular – an extension of the formal learning experience in a course or academic program (e.g. Math Club, Spanish Club). Extracurricular – activities offered or coordinated by a school but not explicitly connected to academic learning (e.g. football, student council, dance team). Activities – activities outside of the academic environment (e.g. club soccer, Girl Scouts). 2020 Activities – could be virtual and could be during school hours (e.g. making masks, writing or calling first responders and healthcare workers to encourage, helping younger siblings with distance learning, tutoring)PAGE 5 - Complete the Community Service Activities HoursInput ALL community service activity hours, descriptions and names of supervisors you have participated in the last 2 school years. You can add lines/pages if you need to. If the service activity is sponsored by a campus faculty member, you MUST get the sponsor in charge to sign on Signature line. Email address is the only thing required for NEISD employees for the Contact Info Column. If not a campus faculty member, put Sponsors Phone # and Email address in the contact information column AND attach an email from the sponsor confirming this activity (Return Email should be visible on printed copy) Signature is optional. Email is REQUIRED for all NON-campus Faculty Sponsors. Copies of Official Service Documentation w/ proper signatures also attached here. PARENTS MAY ONLY SIGN AS A SPONSOR FOR 2020 ACTIVITIES.-PAGE 3-PAGE 6 - Complete the Leadership Positions PageInput ALL leadership positions as well as the organizations they were affiliated with, a description of duties as a leader in this position, AND the Supervisor’s Name. You can list all positions you have held during the last 2 school years. Add lines/pages if necessary.If the organization is sponsored by a campus faculty member, you MUST get the sponsor in charge to sign on Signature line. Email address is the only thing required for NEISD employees for the Contact Info Column. If not a campus faculty member, put Sponsors Phone # and Email address in the contact information column, AND attach an email from the sponsor confirming this role (Return Email should be visible on printed copy) Signature is optional. Email is REQUIRED for all NON-campus Faculty Sponsors. PARENTS MAY NOT SIGN AS A SPONSOR FOR ANY ACTIVITY.PAGE 7 – Complete an Essay “Why I Should Be in NJHS” (failure to include essay will disqualify membership)FINAL CHECKLIST:Every supporting document attached needs to be accounted for somewhere on the Nominee Application Form. There must be an attached email OR a campus faculty signature for every activity listed on any page as proof of involvement. On the campus National Junior Honor Society website, you can find further instructions on how to best fill out your application, with examples. Input URL of websiteAttend an information session (highly recommended, but not required)DAY & DATE at TIME in the auditorium to ask questions and learn tips to filling out a great application.4065270129540On the manila folder tab (Print in black ink LEGIBLY):Last Name, First NameStudent ID #00On the manila folder tab (Print in black ink LEGIBLY):Last Name, First NameStudent ID #Check that:All pages are together and pleted application is in a manila folder.11506207165340On the manila folder tab (Print in black in LEGIABLLY):Last Name, First NameStudent ID00On the manila folder tab (Print in black in LEGIABLLY):Last Name, First NameStudent ID27031957044690On the manila folder tab (Print in black in LEGIABLLY):Last Name, First NameStudent ID00On the manila folder tab (Print in black in LEGIABLLY):Last Name, First NameStudent ID27031957044690On the manila folder tab (Print in black in LEGIABLLY):Last Name, First NameStudent ID00On the manila folder tab (Print in black in LEGIABLLY):Last Name, First NameStudent IDTurn in your completed packet toNJHS Campus Sponsor in Room Room Number NO LATER THAN TIME ON DAY & DATE. Disclaimer: Make sure you have followed all instructions prior to turning this form in. Sponsors are not responsible for making sure your application has been completed correctly. Council Members will score your application based on a rubric. Incomplete/inaccurate information could OMIT certain pieces of your application from your final rubric score. Forged signatures will completely INVALIDATE your application. Don’t forget applications without parent/student signatures on the initial Cover Page will NOT be considered. PAGE 4 - CO-CURRICULAR/EXTRACURRICULAR/ACTIVITIES:List all co-curricular/extracurricular/activities in which you have participated in the last school year. These are activities NOT during the normal school hours (except during 2020)(i.e. clubs, teams, or musical groups), including major accomplishments or events. The description of activities and accomplishments must be concise but thorough. Review checklist to ensure you filled out this section correctly. GRADEACTIVITYNUMBER OF TYPICAL HOURS PER WEEK, FALL SEMESTER, 2 YRSNUMBER OF TYPICAL HOURS PER WEEK, SPRING SEMESTER, 2 YRSNUMBER OF TYPICAL HOURS PER WEEK, SUMMER SEMESTERNAME OFSPONSOR (parent allowed as sponsor for 2020)SPONSOR CONACT INFOPhone #Email SPONSOR’S SIGNATURE (parent signature allowed for 2020 activities)PAGE 5 - COMMUNITY SERVICE ACTIVITIES:List community or service activities in the last school year in which you participated outside of school hours (except during 2020) for the benefit of your community and without compensation (i.e. church groups, clubs sponsored service activities or scouts). Donations are NOT community service. Be sure to identify the activities in which you regularly participated. Don’t forget to include the amount of time you served at each event. The description of activities and accomplishments must be concise but thorough. Review checklist to ensure you filled out this section correctly. DATEPLACE SERVICE BENEFITTEDDESCRIPTION OF SERVICEHOURS COMPLETEDNAME OFSUPERVISORSPONSOR CONACT INFOPhone #, Email SUPERVISORSIGNATUREPAGE 6 - LEADERSHIP POSITIONS:List positions in which you were directly responsible for directing or motivating others. You should be sure to include elected or appointed leadership positions in the last school year held in school, community, or work activities (i.e. student council officer, committee chairperson or team captain). The description of activities and accomplishments must be concise but thorough. Review checklist to ensure you filled out this section correctly. Please note: work positions, club membership, and honor roll do NOT belong under this category, unless you held a leadership position or role. GRADELEADERSHIP POSITION/ROLEORGANIZATIONDESCRIPTIONS OF DUTIES/ACCOMPLISHMENTSNAME OFSUPERVISORSPONSOR CONACT INFOPhone #, EmailSUPERVISOR’S SIGNATUREPAGE 7 – WRITE AN ESSAY:Legibly write (in the space provided) an essay about why you think you should be selected to be a chapter member in the campus National Junior Honor Society. Give specific reasons as part of your rationale. Correct grammatical writing will be a consideration by selection committee. Applications without an essay will not be considered.________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ................
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