NATIONAL HONOR SOCIETY APPLICATION FOR ELIGIBLE STUDENTS

Name

Grade

1st Period Teacher

PLEASE RETURN THIS COMPLETED APPLICATION TO MRS. E. HEATH, OR MRS. CONNER BY

THE END OF THE SCHOOL DAY, FEBRUARY 13, 2014.
WE WILL NOT ACCEPT ANY APPLICATIONS AFTER THIS DEADLINE. APPLICATIONS MUST BE
PRINTED LEGIBLY IN INK OR TYPED. PLEASE DO NOT ATTACH ADDITIOINAL PAGES.
For the information below, please list only those activities since you entered high school. Do NOT list activities you
plan to be involved in; only those you are actively involved in now.
1. SERVICE (List school and community activities which indicate your service to others must be nonpaying.)

2.

LEADERSHIP (List offices and positions held in school, church, and community groups which reflect your
qualifications in this area. You might include athletic teams and part-time jobs. )

3.

CHARACTER (In a statement, list those personal qualities you possess which you feel would qualify you for
membership in the National Honor Society.)

4.

VERIFICATION Please obtain the signatures of four teacher at PHS who would recommend you for
membership in the National Honor Society. Two of these must be sponsors of organizations in which you are
involved.
3.

1.
2.

4.

I understand that completion of this form does not guarantee membership, but that I am being considered for
membership in the National Honor Society. I will accept the decision of the faculty committee charged with the
responsibility of selecting members as final.

Signature of parent/guardian

Signature of student

Date