National Honor Society Service Form

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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: 60 (no more than 30 for a single activity)
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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