National Honor Society Service Form

NATIONAL HONOR SOCIETY SERVICE FORM

Student: Use a separate form for each type of service. Keep your own file of these forms until

you apply for NHS membership. Include your forms when you turn in your NHS application

materials.

Required Hours for NHS Eligibility: 20 (no more than 5 for a single activity, unless approved by

a NHS faculty advisor.)

Print:

Last Name

First Name

Graduation Year

Service includes activities for which there is no compensation or academic credit. For

clubs and sports, service refers to activities that are beyond the expectations of regular

participation.

Hours Worked:

Location:

Dates (month/year) during which service was performed:

Description of Service:

Contact Person:

Phone #:

I verify that the above information is accurate to the best of my knowledge.

Student Signature

Date

Parent Signature

Date

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Parent category: Miscellaneous