Shawnee Mission North High School Application For National Honor Society Membership

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Application for National Honor Society Membership
Shawnee Mission North High School Year 2015-2016
I understand that completing this form DOES NOT guarantee selection to the National Honor
Society and that the information presented here is accurate. I also understand that the criteria
presented for selection is the same criteria that I would be expected to maintain as a member of
the National Honor Society – Scholarship, Leadership, Character, Service - Cum. GPA – 3.6+;
80% Attendance at Monthly Required Meetings; Service Hours due by April 15, 2016.
Student’s name
Part 1: Administrative Information
Full Name _____________________________________________________________
Email ________________________________________________________________
Home Address _________________________________________________________
Phone Numbers ________________________________________________________
Personal Statement: Type your statement not to exceed 150 words that describes why you want to
be an NHS member, explains any obvious deficiencies in any part of the application, or addresses
what strengths you will bring to the organization.
Part 2: Extra-curricular activities—List all activities, inside or outside the school, in which you
have participated during high school.
Column 1
Column 2
Column 3
Column 4
Activity
Date(s) Involved
Advisor/Coach/Adult
Contact Information (Phone
(Can use grade
Supervisor’s Name
number or email) of person listed in
level also)
column 3

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