Part 1: Applicant Information

I. Academic Scholarship: ​“Success is no accident. It is hard work perseverance, learning,

studying, sacrifice, and most of all, love what you are doing or learning to do.”
A. Provide a copy of your child’s SY 1718 Quarter 1 Report Card
B. Fill out the table below based on any academic distinctions or honors that your
child has earned during the past 2 years.

Academic Honor Description

ll. Character: ​“Goodness is about character — integrity, honesty, kindness, generosity, and
moral courage, and the like. More than anything else, it is about how we treat other people.”
C. Fill out the table below based on any extracurricular activities your child
currently participates in.

Extracurricular Activity Description

II. Leadership: ​Ultimately, leadership is not about glorious, crowning acts. It’s about
keeping your team focused on a goal and motivated to do their best to achieve it,
especially when stakes are high and the consequences really matter. It is about laying
the groundwork for others’ success and then standing back and letting them shine.
A. Fill out the table below based on any leadership roles your child has participated
in during the past 2 years.

Leadership Description
Position
III. Service: ​“To give real service, you must add something which cannot be bought or
measured with money, and that is sincerity and integrity.”
A. Fill out the table below based on any service activities your child has participated
in. (These service activities can include projects done both inside and outside of
school that benefit community stakeholders.)

Service Activity Description

 Name:

Date:

Current School/Grade:

National Junior Honor Society

Prompt: (300 words maximum) Describe what the quote, “The best way to find yourself is to

lose yourself in the service of others.” means to you.