National Honor Society Application Page 6

Pascack Hills High School Chapter of the National Honor Society

III.

Extra-curricular Activities—

List all activities in which you have participated during high school. Include

clubs, teams, musical groups, etc., and major accomplishments in each.

Name of Activity

Year

Accomplishments/Description Adviser’s Name

Adviser’s Signature

(9, 10, 11, 12)

Sample:

9, 10, 11

Prepared for and participated in

Mrs. Gordon

Academic Decathlon

competition; won honorable mention in

Math

Directions: Please complete all sections (print neatly or type). Do not be modest. Every bit of information can be used by the

Faculty Council to assist with the selection process. Completion of this form does not guarantee selection. Falsification of

information on this form will lead to disqualification from candidacy. Every entry requires an appropriate signature.

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