Application for National Honor Society



Applicant’s Name (Last, First):      

Application for National Honor Society

Caesar Rodney High School

Directions: Complete ALL sections. Please type or print neatly in ink. Applications that are illegible or completed in pencil will not be considered. All the information will be considered as part of the evaluation process. Completion of this form does NOT guarantee selection.

Administrative Information (all fields are required)

Full Name       ID Number      

Home Address      

E-mail       Phone Number      

I wish to apply for membership in the Caesar Rodney High School Chapter of the National Honor Society. The information presented in my application is accurate. I understand that completing this form does not guarantee selection into the National Honor Society. I also understand that, if selected for the National Honor Society, I must attend meetings and functions as required. I recognize that I will be required to perform community service hours and maintain a GPA of 92%. I acknowledge failure to meet these requirements may result in removal from the National Honor Society.

     ____________________________________________________________________________________

Student Name Student Signature Date

Sign Below ONLY if you are refusing this opportunity.

I am unwilling to participate in National Honor Society. I realize that I will not have another opportunity to participate in this organization.

     _____________________________________________________________________________________

Student Name Student Signature Date

Extra-curricular activities

List all activities, inside and outside of school, in which you have participated during high school, e.g., clubs, teams and musical groups. Include a few details about your accomplishments in those activities.

|Activity |Grade |Advisor/Coach/ |Accomplishments |

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

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If the above section is left blank, please explain why.

     

Leadership Positions

List all elected or appointed leadership positions held in school, community or work activities. Include only those positions in which you were directly responsible for directing or motivating others.

|Activity |Grade |Advisor/Coach/ |Leadership Position |

| | |Supervisor | |

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

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If the above section is left blank, please explain why.

     

Service Activities

List all the community service activities you have participated in that have benefited the school and/or the community.

|Activity |Grade |Group or Activity |

| |9 |10 |11 |12 | |

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If the above section is left blank, please explain why.

     

Work Experience, Recognition and Awards

List all (paid or volunteer) job experiences, honors and/or recognitions that you have received which support your bid to be selected for membership into the National Honor Society.

|Job, Recognition, or Award |Grade |Advisor/Coach/ |Accomplishments |

| | |Supervisor | |

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

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If the above section is left blank, please explain why.

     

Essay

Please respond to the following essay prompt. Your response must be typed below or typed and included with this application. The Faculty Council will evaluate the essay holistically.

Scholarship, Leadership, Character and Service are the four pillars of the National Honor Society.

Please write a letter to the Application Committee detailing how you exemplify these four pillars in your life and how you intend to uphold these ideals as a member of the Caesar Rodney National Honor Society.

     

Letter of Recommendation

Please include a letter of recommendation from an adult who can attest to your qualifications for membership in the National Honor Society. This letter may NOT come from your parents or a member of the CRHS staff.

Please include the letter of recommendation with your application.

Name of recommender:      

Relationship to applicant:      

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