National Honor Society Xaverian Chapter Candidate Form (Page 3 of 5) in pdf

National Honor Society Xaverian Chapter Candidate Form Page 3

4. Signatures

I am aware that only the service, activities and honors documented in this application will be considered by the Faculty Committee.

I understand that the completion of this form does not guarantee selection into the National Honor Society. If selected, I agree to accept

the responsibilities of membership as listed below:

1. I will participate in the formal induction ceremony on (date to be determined).

2. I will complete 7 hours of service (above the required school service hours) to Good Counsel each year of membership

through peer tutoring, assisting teachers in their classrooms and/or participating in NHS service-related projects.

3. I will maintain a 3.5 GPA each year of membership.

4. I will attend scheduled NHS meetings of the National Honor Society and check my Good Counsel e-mail on a regular basis.

5. I will adhere to Good Counsel’s code of conduct and be a role model for my peers.

I understand that my membership may be revoked if I do not meet the above obligations.

I attest that the information presented in this application is complete, accurate, and is my own work.

Student signature: _________________________________________________________ Date: ________________________

I have read the information provided by my son/daughter on this application and can verify that it is true, accurate, and complete.

Parent/Guardian Signature: _________________________________________________ Date:__________________________

National Honor Society Xaverian Chapter Candidate Form Page 3