ONEKAMA HIGH CHAPTER OF THE NATIONAL HONOR SOCIETY
Directions:
Please complete all sections. Type or print all information and
submit it by the published deadline. Do not be modest.
Every bit of information will be used by the faculty council to
assist with the fair consideration of your candidacy during the
selection process. Completion of this form does not guarantee
selection. Should you have questions about this form, please contact
Mrs. Torrey. All the information should be typed.
I. Administrative/Demographic Information
Name:
II. Leadership Positions
List all elected or appointed leadership positions held in school,
community, or work activities. Only those positions in which you
were responsible for directing or motivating others should be
included. For example, elected officer for the student body, class,
or club; committee chairperson; team captain; newspaper editor; work
area manager; or other community leader. Please include the name of
the adult responsible for supervising your leadership in each
position.
Year: 9 10 11 12 / Leadership Position / Activity or Organization /
Supervising Adult
III. Service Activities
List service activities in which you have participated. These can be
individual or group service projects done either in or out of
school. Generally speaking, service activities are those that are
done for or on behalf of others (not including immediate family
members) for which no compensation (monetary or other) has been
given. Please ask an adult supervisor who can verify your
participation in each activity to sign on the appropriate line, and
also list the estimated number of hours you invested while
performing this service.
Year: 9 10 11 12 / Activity / Hours of Service / Name of Adult
Supervisor
IV. Other Student Activities
List all other school-based activities (not noted above) in
which you have participated in school. Include clubs, teams, musical
groups, etc., and any significant accomplishments in each.
Year: 9 10 11 12 Activity / Accomplishment(s)
V. Other Community Activities
List other community activities in which you have participated and
note any major accomplishment in each. These should be any
activities outside of school in which you participated for the
betterment of your community. For example: religious groups, clubs
sponsored outside the school, Boy or Girl Scouts, community art
endeavors, etc. Do not repeat participation already listed above.
Please include the name of the Adult supervisor of each activity.
Year 9 10 11 12 / Community Activity / Hours / Accomplishments /
Adult Sponsor
VI. Work Experience, Recognition, and Awards
Though not a specific criterion for membership, please list below
any job experiences, honors, or recognition that you have received
that support your candidacy for membership in the Honor Society.
Work experience may be paid or volunteer.
Job, Recognition, or Award / Year: 9 10 11 12
Group or Activity/Number of Hours Spent on Job or Activity/ Adult
Supervisor
VII. Signatures
I understand that completing this form does not guarantee selection
to the 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.
Student 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.
Parent Signature: _____________________ Date: _______________
Return completed form to Mrs. Torrey
on February 23, 2009.
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