National Honor Society Xaverian Chapter Candidate Form Page 2

2. Service Activities

List, in order of importance, service activities in which you have participated during your time at Good Counsel. Service is defined as

volunteer work with no monetary compensation OR school credit. <NOTE: The hours listed below must be above the Good Counsel

Service requirement.> Please list the name and phone number of an adult supervisor who can validate your service, and list the

number of hours you invested while performing this service.

Number of Hours

Name AND Contact

Completed

Activity

Explain Your Responsibilities and Contributions

Information of

(above GC

Adult Sponsor

requirement)

3. Recognition and Awards

Though not a specific criterion for membership, please list below any recognition or awards that you have received during your time

at Good Counsel that support your candidacy for membership in the Honor Society.

Year Given

Academic Recognition and/or Awards

(9-12 only)

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