Title

Full Name

Student ID Number

Email Address

Street Address

Counselor Name

Counselor Email

Your counselor will be sent an email to verify your current, unweighted gpa of 3.5 or higher.

Essay

How do you see yourself as a leader? Describe an activity or experience in which your participation made a difference. How did your leadership skills influence the outcome? Give examples. (Maximum of 250 characters)

Students will provide the name/email of three distinct references who can attest to their character. References can be teachers, employers, service supervisors, or other community members. References CANNOT be a relative or family member. Submitting a reference will automatically send that person an email for comment. Please alert references to expect these emails.

Reference 1 Name

Reference 1 Email

Reference 2 Name

Reference 2 Email

Activity List: activity name, title, supervisor, supervisor email, description of activity, category (act, service, leadership, both), and number of hours if a service activity. Completing an activity and submitting it will automatically send an email to the supervisor for confirmation. Please be sure to alert supervisors to expect these emails.

Activity Name

Role

Activity Supervisor

Supervisor Email

Activity Description

Activity Category

Activity Hours

I understand that completing and submitting this application does not guarantee selection to the National Honor Society. I attest that the information presented here is complete and accurate. If selected, I agree to abide by the standards and guidelines of the chapter and to fulfill all of my membership obligations to the best of my ability. By checking this box and typing my name below, I am electronically signing my application.