1. National Honor Society Havelock High School

2. Welcome & Congratulations!
You are currently being considered and reviewed for membership in accordance with the rules and regulations of the NHS and the local chapter’s bylaws.
Remember– nomination does not automatically mean acceptance into the National Honor Society.
Your application must be typed. The electronic copy is on the HHS: NHS website.

3. Consideration for Membership
Page 1- Student Activity Information Form
School Sponsored Activities
Example–
You must obtain a signature for each activity in order to verify your participation
“Accomplishments” should be a description of your involvement in the activity. Do not leave this section blank.
Other school sponsored activities may include but are not limited to…
Color Guard. Band Yearbooks FFA FBLA Math Team FCA FTA. Freshman Executive Board Sophomore Executive Board Junior Executive Board Senior Executive Board STUCO. Spanish Club Art Club Vocal Ensemble NTHS ROTC
Activity    9
Year 10 11 12
Accomplishments (if a leadership position please indicate here and elaborate below) 
Signature of
Coach/Advisor
Baseball X
Highest Average, 20 steals, 4 wins, 3.02 era
Mr. Spillane

4. Consideration for Membership
Page 2- Student Activity Information Form
Leadership Positions
Example–
You must obtain a signature for each activity in order to verify your participation
Leadership positions are any and all elected or appointed leadership positions held in school, community, or work activities. May include but not limited to:
Elected Student Body Representative Class/Club Officer Committee Chairperson Team Captain Yearbook Editor Work Area Manager ROTC Community Leader. Classroom collaborative groups leaders etc.
Leadership
Position 9 10 11 12
Explanation
Signature of
Coach/Advisor
Spanish Honor Society President X
Responsible for running meetings, organizing service projects
Mrs. Barney

5. Consideration for Membership
Page 2- Student Activity Information Form
Community Service/ Volunteerism
Example–
You must obtain a signature for each activity in order to verify your participation. Additionally, please attach a letter from the supervisor explaining your participation and/or a certificate of participation.
These should be any activities outside of school in which you participated for the betterment of your community. For example…
Church groups Boy/Girl Scouts Volunteer groups Tutoring Youth Group Etc.
Activity 9 10 11 12
Total No. Hrs. Worked
Explanation
Signature of
Supervisor
Habitat for Humanity X 39
Helped build houses for families in need
Mr. Cusick

6. Consideration for Membership
Page 3- Student Activity Information Form
Recognitions & Awards
Example–
You must obtain a signature for each activity in order to verify your participation
Be sure to list and honors or recognitions that you have received which support your bid to be selected for membership in the NHS. If you have not received any recognitions or awards, this does not disqualify you from selection.
Recognition or Award
Year/ Grade
Explanation
Signature of
Coach/ Advisor
Girls Basketball MVP
2017/11th Grade
Received plaque & certificate as team Most Valuable Player
Mr. Brennan

7. Consideration for Membership
Page 3- Student Activity Information Form
Work experience
Example–
You must obtain a signature for each activity in order to verify your participation
Remember to list any and all work experience you have. This may be paid or unpaid. If you have no work experience, that does not disqualify you from selection.
Job/ Location
Year
Duties
Supervisor
Cashier/Pathmark Middletown
7/ /2008
Ring up customer orders, restock shelves, and price check
Mr. John Smith
(732)

8. Consideration for Membership
Page 3- Student Activity Information Form
Required Personal statement
It is vital that candidates devote their attention to the personal statement. Type an essay (1 page max), which highlights important experiences and achievements in your high school years. Make sure you include anything not covered elsewhere in the membership form.
As you write, keep in mind the four cornerstones of the National Honor Society:
Character
Leadership
Scholarship
Community Service

9. Consideration for Membership
Page 4- Consideration for Membership
Remember that you must read and sign a statement pledging that you do indeed wish to be considered for membership.
If for some reason you would not wish to be considered, it is expected that you will turn in the packet with this page completed ASAP!
As indicated by the page in your application packet, your parent/guardian must sign this portion as well.
This will ensure that both the applicant & the applicants parent/guardian have read and understood all of the directions and procedures involved in the selection process.

10. Consideration for Membership
The application is due NO LATER THAN:
November 5, 2019
Any form submitted after the deadline will not be considered for membership.
You may only submit your application to Mrs. Forguites (Room 706) or Mrs. Lembke (Room 505).
Any and all questions must be directed to Mrs. Forguites or Mrs. Lembke
Teacher Recommendations will be sent out once the form is received by Mrs. Forguites & Mrs. Lembke. Teacher recommendation forms will be sent digitally to your selection teachers.