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NHS Leadership Teacher Form
NHS Leadership Teacher Form
LEADERSHIP Reference
NAME: ___________________________________________ HOMEROOM: ___________________
I. DEFINITION:
B. Illustrates complete involvement and dedication of time and effort by showing a willingness to
spend time in school and/or after school to reach/set goals.
II. PROCEDURE
A. Candidate will submit Leadership form to one faculty member of her/his choice who has not yet signed a
survey to verify candidate’s qualifications in areas of character and service.
I have carefully read the traits listed below and have checked them in effort to evaluate and substantiate that
the student named above be considered for induction into the National Honor Society.
1 2 3 4 NA
Is resourceful in proposing new problems, applying principles, and making
suggestions
Demonstrates leadership in promoting school activities
Exercised influence on peers in upholding school ideals
Contributes ideas that improve the civic life of the school
Demonstrates highest standards of honesty and reliability.
Is able to delegate responsibilities
Inspires positive behavior in others
Demonstrates academic initiative
Demonstrates reliability and dependability
Rating: 1 = below average 2 = average 3 = above average 4 = exceptional NA = not applicable
________________________________________ ______________________
Teacher’s Signature Date
Rev.1/11/08