National Honor Society Polaris Chapter
Dear Canidate:
Congratulations! Please read the following carefully, the steps involved in filing for membership are very specific. Following the directions will enhance your chances for selection.
The application can be found on the school’s website www.northeastprep.org . In order for you to be considered for membership a NEAT HARD COPY of the application must be submitted, typed is preferred, by the end of the school day on November 20th . If your application is not submitted on or before November 20th , your application cannot be considered. The hard copy, complete with proper signatures, must be hand-delivered to Mr. Barnes in room 222.
If you have any questions, see Mr. Barnes well in advance of the deadline. No applications will be accepted after November 20th . If you are absent from school on the day of the deadline, you must find a way to submit the application by the close of the school day. Character, leadership, service, and overall scholarship will all be considered in the admission process. A faculty committee will review the applications and make the final admission decisions.
There are 11 pages in total to the packet. Also, a checklist has been included for your convenience. Please fill out the information in each section of the application carefully. The signature of each faculty advisor, coach, or supervisor are important to verify your participation in that activity. Any invalid signatures will be grounds for disqualification. In addition, three letters of recommendation must accompany this application
Again, congratulations on your achievement! We look forward to receiving your application.
Mr Barnes Chapter Advisor 2 National Honor Society Process Notes
Application Overview Checklist Did you remember to. . . . Administrative information pg 4 Type or write the application neatly and Activity Record Pg 5-8 in black ink? Paper clip rather than staple the Recommendations pg 9-10 application together? Student Essays pg 11-12 Make sure no items were taped to the application? Place your letters (3) of Application Review Process recommendation in a signature-sealed envelope? Tuesday October 10 Invitations Letters DUE DATE: November 10th
Wednesday November 10 Completed applications due Interim Confidential Faculty Council Review
Thursday December 1, 2010 Induction (approximately)
National Honor Society Application Polaris Chapter 3 National Honor Society Administrative Information
Directions: Please complete all the light-blue (grey) highlighted areas of this form. Do not be modest. All information is useful to the faculty council. Please, when completing this form, follow the instructions.
Completion of this form is necessary for selection yet does not guarantee selection. Any section that is left blank without subsequent explanation will be considered invalid.
I. Administration Information (Please type or print): Name: First Middle Last
Address: Street City State Zip Code
Email: @
Phone: ( ) -
Parent/Guardian and Student Consent We have reviewed this application and the attached cover letter. We are aware of the requirements for application and recognize that failure to comply with these standards may disqualify this application. We have reviewed the attached selection criteria. We also understand that students selected for the National Honor Society must attend meetings and functions as required. We recognize that students will be required to perform community service hours and may be removed from the Society for failing to meet these requirements
We do declare that all the information contained in this application is accurate and true.
Student Name Student Signature
Parent Name Parent Signature
National Honor Society Application Polaris Chapter 4 National Honor Society Activity Record
In the next four sections, you are asked to list the school organizations and clubs, athletic teams, community organizations, and employment in which you have been involved. For each of the activities, please list the years in which you have participated. In addition, for school organizations, please list any leadership positions you have held; for employment, list your titles/positions; and for community organizations, the type of service you performed. A reminder that for all activities, the signature of the person in charge is required.
A. Co-curricular Activities: List all activities in which you have participated during high school. (Example: clubs, teams, musical groups.) Include a few details about your accomplishments in those activities.
“X” :those years ACTIVITY of Primary Accomplishment(s) participation 9 10 11 12
List additional comments. If the above section is left blank, please explain why.
National Honor Society Application Polaris Chapter 5 National Honor Society Activity Record
Required sections to be completed for membership in the National Honor Society, cont’d.
B. Leadership Positions: List elected or appointed leadership positions which you have held or currently hold in school, in the community, or at work in which you have been responsible for directing or motivating others. (Examples: student body/class/club officer, committee chairperson, team captain, newspaper editor, work area manager.)
“X” :those years Position of Name of Organization participation 9 10 11 12
List additional comments. If the above section is left blank, please explain why.
National Honor Society Application Polaris Chapter 6 National Honor Society Activity Record
Required sections to be completed for membership in the National Honor Society, cont’d.
C. Community Activities: List activities you have participated in outside of school that have contributed to the betterment of the community. (Examples: church groups, 4H, clubs sponsored outside the school, Boy or Girl Scouts, volunteer groups or community art endeavors.)
“X” :those years Average Community of number of Primary Adult Sponsor: name Activity participation HRS/WK Accomplishments and phone contributed 9 10 11 12
List additional comments. If the above section is left blank, please explain why.
National Honor Society Application Polaris Chapter 7 National Honor Society Activity Record
Required sections to be completed for membership in the National Honor Society, cont’d.
D. Work Experience, Recognition, and Awards: List all (paid or volunteer) job experiences, honors and/or recognitions that you have received which support this application for National Honor Society membership.
“X” :those years Position of Name of Organization participation 9 10 11 12
List additional comments. If the above section is left blank, please explain why.
National Honor Society Application Polaris Chapter 8 National Honor Society Letter of Recommendation
Directions to Student: Identify three indviduals in the community or school who can attest to the SERVICE and/or LEADERSHIP that you have provided over the past two years and/or longer.
Letters can be from a faculty or staff member of the North East College preparatory School, and one recommendation may be from outside the school community.
Provide him/her with an envelope addressed to Mr Barnes and have him/her sign the sealed envelope and return it with your application.
Name Address Phone Relation
1
2
3
National Honor Society Application Polaris Chapter 9 National Honor Society Letter of Recommendation
Directions to Writer: Northeast College Prepratory High School is in the process of selecting National Honor Society members. We would like your feedback as to the SERVICE and/or LEADERSHIP this applicant has demonstrated. Please comment on:
the applicant’s commitment to service the nature of the activities how this person demonstrated leadership in events or organizations additional comments about the CHARACTER (honesty, reliability, etc.)of the applicant
Please seal the envelope, sign over the seal and mail it to Mr. Barnes at NECPHS, Douglass Campus, 940 Fernwood Park, Rochester NY 14609 or return it to the applicant. Please reference the student on the front of the envelope. All letters must be received by 3:00 pm on November 10th .
Student Name:
Writer's Name:
Signature of Writer: Date:
Position:
Phone Number:
How long have you known the applicant?
Please use the space below or attach a separate letter to this page to comment on this individual's service and/or leadership to your organization. Please do not use the back of this page.
National Honor Society Application Polaris Chapter 10 National Honor Society Letter of Recommendation
Directions to Writer: Northeast College Prepratory High School is in the process of selecting National Honor Society members. We would like your feedback as to the SERVICE and/or LEADERSHIP this applicant has demonstrated. Please comment on:
the applicant’s commitment to service the nature of the activities how this person demonstrated leadership in events or organizations additional comments about the CHARACTER (honesty, reliability, etc.)of the applicant
Please seal the envelope, sign over the seal and mail it to Mr. Barnes at NECPHS, Douglass Campus, 940 Fernwood Park, Rochester NY 14609 or return it to the applicant. Please reference the student on the front of the envelope. All letters must be received by 3:00 pm on November 10th .
Student Name:
Writer's Name:
Signature of Writer: Date:
Position:
Phone Number:
How long have you known the applicant?
Please use the space below or attach a separate letter to this page to comment on this individual's service and/or leadership to your organization. Please do not use the back of this page.
National Honor Society Application Polaris Chapter 11 National Honor Society Letter of Recommendation
Directions to Writer: Northeast College Prepratory High School is in the process of selecting National Honor Society members. We would like your feedback as to the SERVICE and/or LEADERSHIP this applicant has demonstrated. Please comment on:
the applicant’s commitment to service the nature of the activities how this person demonstrated leadership in events or organizations additional comments about the CHARACTER (honesty, reliability, etc.)of the applicant
Please seal the envelope, sign over the seal and mail it to Mr. Barnes at NECPHS, Douglass Campus, 940 Fernwood Park, Rochester NY 14609 or return it to the applicant. Please reference the student on the front of the envelope. All letters must be received by 3:00 pm on November 10th.
Student Name:
Writer's Name:
Signature of Writer: Date:
Position:
Phone Number:
How long have you known the applicant?
Please use the space below or attach a separate letter to this page to comment on this individual's service and/or leadership to your organization. Please do not use the back of this page.
National Honor Society Application Polaris Chapter 12 National Honor Society Essay
In an effort to let those who are evaluating you know you better, the committee would like you to write the following essay:
Respond to each of the following essay items in the space provided below. Please limit your responses to a maximum of 250 words each. (You may re-type this page and the next and type your essays.)
A. What attribute do you most admire about your character and what attribute do you least admire about your character? Provide at least two anecdotes about yourself that best illustrate your CHARACTER considering the questions above. Note: do not include your name in the essay, but personal stories or characteristics are acceptable.
National Honor Society Application Polaris Chapter 13
National Honor Society Essay
Student Essays (continued)
B. What do you see as the function of an organization such as the National Honor Society? If selected to this group, how would you contribute to the continued growth and success of the NHS? What service activities would you like to see NHS pursue this year? Note: do not include your name in the essay, but personal stories or characteristics are acceptable.
National Honor Society Application Polaris Chapter