National Honor Society Guidelines Mackay School Page 4

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Mackay High School Chapter of the National Honor Society
Student Information Application Form
Directions:
Please complete all sections.
All information given should be for activities
th
th
completed during 9
to 12
grades. Type or print all information. Verify due date with Mrs.
Woodbury.
Do not be modest. All of the information will be used by a faculty council to assist with the fair
consideration of your candidacy during the selection process. Failure to complete all portions
of the form could jeopardize your selection. Completion of this form does not guarantee
st
selection. In the National Honor Society, there are four Criteria areas you must meet: 1
is
nd
rd
th
Academic, which you have met; 2
is Leadership; 3
is Service; and 4
is Character. If you
have questions about this form, please contact Mrs. Woodbury in the Library.
NAME: _____________________________________ Grade: ____________
Mailing Address: _______________________________________________
Leadership
List all of elected or appointed leadership positions held in school, community, or work
activities. List only those positions you have held in which you were responsible for directing or
motivation others. Example: student body officer, class or club officer, team captain, church,
etc.
Leadership Position Grade Organization
Description of duties
Service
List services in which you have participated in, these can be individual or in groups. Service can
be done either in the school or community. Service is considered as activities that are done for
or on behalf of others (not including immediate family members) for no pay of any value.
Activity
Grade
Hours
Description of duties

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