Shawnee Mission North High School Application For National Honor Society Membership (Page 5 of 5) in pdf

Shawnee Mission North High School Application For National Honor Society Membership Page 5

National Honor Society Application Signature Sheet

(please print off this sheet)

Part 2: Extra-curricular Activities

_____________________________________________________________________________________

Print ONE of the advisor/coach/adult supervisor’s name (from Column 3) here

Signature of the person listed above

Date

Part 3: Leadership Positions

_____________________________________________________________________________________

Print ONE of the advisor/coach/adult supervisor’s name (from Column 4) here

Signature of the person listed above

Date

Part 4: Service Activities

_____________________________________________________________________________________

Print ONE of the advisor/coach/adult supervisor’s name (from Column 3) here

Signature of the person listed above

Date

I understand that completing the application DOES NOT guarantee selection to the National Honor Society and that

the information presented 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 Signature

Date

“By signing below I acknowledge that I have completely reviewed my student’s NHS application.

The TYPED application is due Friday, September 18 by 11:59PM submitted as a PDF to

. The signature sheet and letter of recommendation are submitted to room 247

by 3:20PM. There are no applications accepted after that time. Further, to the best of my

knowledge, my student has completed it in a professional manner and has included all information

that will help the committee in its selection process.”

_____________________________________________________________________________________

Parent Signature

Date

Shawnee Mission North High School Application For National Honor Society Membership Page 5