National Honor Society Application 2021-2022 - Atlanta Public ...
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Booker T. Washington High School
National Honor Society Application
2021-2022
APPLICATION DEADLINE:
MONDAY OCTOBER 4TH BY 12:00 PM IN COUNSELING SUITE ROOM 1103
NO LATE APPLICATIONS WILL BE ACCEPTED.
Questions?
Advisor: Dr. Clark erica.clark@atlanta.k12.ga.us
How to transfer membership if you were accepted at a different school?What is the National Honor Society? The National Honor Society, or NHS, is the nation's premier organization established to recognize outstanding high school students. More than just an honor roll, NHS serves to honor those students who have demonstrated excellence in the areas of Scholarship, Leadership, Service, and Character. These characteristics have been associated with membership in the organization since its beginning in 1921. Before you begin, please read the following expectations: The National Honor Society recognizes sophomores, juniors and seniors who achieve excellence in the areas of scholarship, character, leadership, and service. You must excel in ALL four areas. A minimum of a 3.5 cumulative GPA is required to apply in addition to having completed 10 hours of community service on a volunteer basis for a non-profit organization. Additionally, you must have been involved in at least one extra- curricular activity since 9th grade. A selection committee will assess your character through a process involving the following: analysis of your personal statement, two letters of recommendation from previous teachers at Booker T. Washington High School, and review of transcripts. The main purpose of this application is for you to inform the selection committee of your history of leadership, character, scholarship and service. The committee is looking for consistent examples of leadership and service over an extended period of time. For the purposes of this application, your high school career started the summer between your eighth- and ninth-grade years. A leadership position is any position in which you are in charge of others. Serving in a leadership position means the activity described would not have occurred or would have been greatly impacted without your participation. These can be “traditional” positions such as a team captain or club officer. They can also be somewhat less obvious roles such as organizing a service activity or chairing a school committee. On your application, it is necessary to clearly describe your position and duties, so the faculty committee can understand your role. Please be aware that some positions may sound like leadership positions when they are not. For example, a position that you attain because of a particular skill (such as the first chairs/ Historian in the orchestra) is not necessarily a leadership position unless it is accompanied by leadership responsibilities. Tutoring is only a service and is not considered leadership. A service/community activity is anything you have done to serve your community without receiving compensation (money, personal benefit or academic credit) for your actions. Service can include activities associated with school organizations as well as any community or religious organizations (non-profit organizations). If you use a club for your community hours, then you cannot double dip and also use it towards your activities. For instance: if you are a member of student council and are completing community service or volunteer hours, you cannot use these volunteer hours for both student council and NHS. Office or teacher aides is not considered service. An extracurricular activity can be a school club, a sport, or an outside club as long as it is organized, meets at least once a month, and has an obvious purpose. You must be involved in at least 1 per year, provide a description, and obtain a valid signature from the advisor or the one who oversees the activity. Sophomores need to verify 1 activity from freshman year. Juniors need to verify 1 activity for each freshman and sophomore years. Seniors need 1 activity for each freshman, sophomore, and junior years. How do you become a member? The honor of being selected as a member of the NHS is recognized throughout the nation, and is both a public recognition of accomplishment and a commitment to continued excellence on the part of the new member. Selection is a privilege bestowed upon students by the faculty of the school, and is not an inherent right. During the 2021-2022 school year NHS has experienced membership criteria revisions. Due to the changes all Booker T. Washington High School students applying for NHS must complete all of the required application components.
To apply for membership you must meet the following criteria:
● Be a Sophomore, Junior, or Senior
● Have attended at BTWHS for at least one semester
● Have a cumulative GPA of at least 3.5 GPA
● Demonstrate an exemplary history of community service.
● Demonstrate scholarship, leadership, service, and character. (The Four Pillars of NHS)
Required Application Components (in order) due October 4 in the counseling suite Room 1103
1. Application Checklist Checked and signed by student and parent.
2. Community Service Forms Form completed with specific dates and times, and signed by
supervisor with phone number and title.
3. Leadership Form Includes position, description, grade level, and advisor/adult
signature.
4. Extracurricular Activities Includes activity, description, grade level, and advisor/adult
signature.
5. 2 Letters of Reference Submitted by teachers in a sealed envelope to Dr. Clark
6. Personal Statement Must follow all guidelines.
7. Transcript Request a transcript by visiting the registrar’s or counselor’s
office
8. Receipt of non-refundable $40 payment made to the business office by October 1st
dues payment online.
Your NHS advisor’s’ role:
To enforce the national guidelines so that BTWHS can keep its NHS accreditation, to guide you, and to provide
evidence for your case to both faculty council and the national organization. Your advisor does not decide if
you are accepted or rejected to NHS. Faculty Council makes that decision. Their decision is FINAL. There is
no appeal process. Selection results will be delivered in late December. All decisions will be mailed the week
before the induction ceremony. The induction ceremony is mandatory for all members. Failure to attend
the ceremony will preclude a candidate from becoming a member.
Maintaining Membership:
In order to maintain membership in NHS after acceptance you must meet the following criteria:
● Attend at least four of the six NHS meetings.
● Participate in official Booker T Washington HS-NHS Community Service projects.
● Complete a total of 10 hours of pre-approved community service activity that meets the following
conditions:
o Fulfill a need within the school or community
o Has the support of the administration and the faculty
o Is appropriate and educationally defensible
o Is well planned, organized, and executed
o Is separate from the community service hours you submit to the counseling office for graduation
requirements
Application deadline is Monday, October 4, 2021 by 12:00pmTHIS PAGE IS INTENTIONALLY BLANK (REMOVE THIS AND PRIOR PAGE BEFORE SUBMISSION OF APPLICATION)
Applicant’s Name: Grade: Student ID:
Classroom # 1st Period: 2nd Period: 3rd Period: 4th Period:
BTWHS – NHS
Application Checklist
Make sure you have completed each of the following before turning in your application.
______ Did you and your parents read the information page?
______ Did you complete the community service forms (10 hours)?
______ Did you complete the leadership section?
______ Did you complete the extracurricular activities page?
______ Did you ask two teachers for recommendations? They must complete their
recommendation and return to Dr. Clark in a sealed envelope by the due date.
______ Did you submit your personal statement? Was it typed? Is it 250-300 words?
______ Did you attach a current transcript?
_____ Did you pay your non-refundable dues to the business office and attach a receipt?
_____ Did you make a copy of this application for your own records? Applications will not be
returned to students after submission.
_____ Did you put the required materials in order?
I, __________________________ (print your name), have read, understood and completed this
application and agree to the manner of the selection process. I hereby state that the information
herein is true and accurate. I understand that any violation of the pillars of the National Honor
Society (scholarship, character, leadership and service) as well as providing any consciously false
information on this application may result in my immediate and permanent removal from NHS as
well as any disciplinary actions deemed necessary by the faculty council and our principal. Please
note eligibility does not guarantee membership.
Student signature: ____________________________________________ Date: _______________
Parent signature: ______________________________________________ Date: _______________BTWHS-NHS PROSPECTIVE MEMBER
COMMUNITY SERVICE DOCUMENTATION FORM
(10 HOURS MINIMUM)
THIS IS THE ONLY FORM ALLOWED TO BE USED FOR SERVICE
***PLEASE COMPLETE IN BLUE OR BLACK INK ONLY***
Name of Community Organization Served:_______________________________________
Detailed Description of Volunteer Service Activity:
________________________________________________________________________________________
________________________________________________________________________________________
__________________
Specific Dates and Times of Volunteer Service: Must be specific and individualized for each day.
Date: ________________ Times: _____ Date: ___________________ Times: ___
Date: ________________ Times: _____ Date: ___________________ Times: ___
Date: ________________ Times: _____ Date: ___________________ Times: ___
TOTAL Number of Hours: _________________________
I verify that this student has completed the described volunteer service activity for the aforementioned
community organization, and that I am a representative of the organization.
_____________________ ___________________________ ________________
Name (print) Signature Phone Number
Name of Community Organization Served:_______________________________________
Detailed Description of Volunteer Service Activity:
________________________________________________________________________________________
________________________________________________________________________________________
__________________
Specific Dates and Times of Volunteer Service: Must be specific and individualized for each day.
Date: ________________ Times: _____ Date: ___________________ Times: ___
Date: ________________ Times: _____ Date: ___________________ Times: ___
Date: ________________ Times: _____ Date: ___________________ Times: ___
TOTAL Number of Hours: _________________________I verify that this student has completed the described volunteer service activity for the aforementioned community organization, and that I am a representative of the organization. _____________________ ___________________________ ________________ Name (print) Signature Phone Number Name of Community Organization Served:_______________________________________ Detailed Description of Volunteer Service Activity: ________________________________________________________________________________________ ________________________________________________________________________________________ __________________ Specific Dates and Times of Volunteer Service: Must be specific and individualized for each day. Date: ________________ Times: _____ Date: ___________________ Times: ___ Date: ________________ Times: _____ Date: ___________________ Times: ___ Date: ________________ Times: _____ Date: ___________________ Times: ___ TOTAL Number of Hours: _________________________ I verify that this student has completed the described volunteer service activity for the aforementioned community organization, and that I am a representative of the organization. _____________________ ___________________________ ________________ Name (print) Signature Phone Number Name of Community Organization Served:_______________________________________ Detailed Description of Volunteer Service Activity: ________________________________________________________________________________________ ________________________________________________________________________________________ __________________ Specific Dates and Times of Volunteer Service: Must be specific and individualized for each day. Date: ________________ Times: _____ Date: ___________________ Times: ___ Date: ________________ Times: _____ Date: ___________________ Times: ___ Date: ________________ Times: _____ Date: ___________________ Times: ___ TOTAL Number of Hours: _________________________ I verify that this student has completed the described volunteer service activity for the aforementioned community organization, and that I am a representative of the organization. _____________________ ___________________________ ________________ Name (print) Signature Phone Number
LEADERSHIP POSITIONS
LIST ALL ELECTED OR APPOINTED LEADERSHIP POSITIONS HELD IN SCHOOL, COMMUNITY, SPORTS
OR WORK ACTIVITIES. PLEASE BE THOROUGH IN ALL LEADERSHIP AND DESCRIPTIONS.
LEADERSHIP DESCRIPTION YEARS IN PRINT NAME, TITLE,
POSITION SCHOOL AND SIGNATURE OF
SUPERVISOR
( 9, 10, 11, 12)
1.
2.
3.
4.
5.EXTRACURRICULAR ACTIVITIES
List all activities in which you have participated in high school. Include clubs, teams, musical groups, theater productions,
etc. and major accomplishments in each. PLEASE BE THOROUGH IN ALL EXTRACURRICULAR ACTIVITY
DESCRIPTIONS. USE ADDITIONAL SHEET IF NEEDED.
ACTIVITY DESCRIPTION/ YEARS IN PRINTED NAME AND
ACCOMPLISHMENT SCHOOL SIGNATURE OF SUPERVISOR
(9 10 11 12)
1. Print Name:
Signature:
2. Print Name:
Signature:
3. Print Name:
Signature:
4. Print Name:
Signature:
5. Print Name:
Signature:
6. Print Name:
Signature:Booker T. Washington High School
National Honor Society Application
Teacher Recommendation Form
Applicant: Complete the top portion only and give one recommendation form to a teacher of your choosing. Please read the
Objective Standard below as only students who demonstrate distinguished character will be considered for this chapter.
Student Name: _________________________________________ Teacher Name: ________________________________________
The Faculty Council would like your input regarding this student application for membership to the National Honor Society.
BTWNHS Objective Standard for Character: One of the criteria for acceptance into NHS is exemplary character, which is measured in
terms of integrity, behavior, ethics, and cooperation with both students and faculty. The following list of attributes supports these
measurements. Our chapter only selects students who demonstrate exemplary character across ALL criteria; therefore, only students who
receive a comprehensive ranking of at least Excellent (Top 10%) will be considered for this chapter of NHS.
What course did you teach this student and when? _________________________________________________
Check the appropriate box that best describes the character of the student.
Attribute Truly Excellent Good Average Below No Basis for
Outstanding (Top 10%, but Average Judgment
(top 2-3%) not top 2-3%)
Responsibility
Maturity and self-discipline
Self-confidence
Sense of humor
Concern for others
Integrity
Reaction to setbacks
Compliance with school regulations
Cooperation with others
Recommendation: _____ recommend without reservation
_____ recommend with reservation (Please comment).
_____ do not recommend (Please comment).
Comments:
Signature __________________________________________________________________
Printed Name ______________________________________________________________ Date _________________________
DO NOT RETURN TO THE APPLICANT.
Please sign and return to the mailbox of Dr. Clark by Monday, October 4th. Thank youBooker T. Washington High School
National Honor Society Application
Teacher Recommendation Form
Applicant: Complete the top portion only and give one recommendation form to a teacher of your choosing. Please read the
Objective Standard below as only students who demonstrate distinguished character will be considered for this chapter.
Student Name: _________________________________________ Teacher Name: ________________________________________
The Faculty Council would like your input regarding this student application for membership to the National Honor Society.
BTWNHS Objective Standard for Character: One of the criteria for acceptance into NHS is exemplary character, which is measured in
terms of integrity, behavior, ethics, and cooperation with both students and faculty. The following list of attributes supports these
measurements. Our chapter only selects students who demonstrate exemplary character across ALL criteria; therefore, only students who
receive a comprehensive ranking of at least Excellent (Top 10%) will be considered for this chapter of NHS.
What course did you teach this student and when? _________________________________________________
Check the appropriate box that best describes the character of the student.
Attribute Truly Excellent Good Average Below No Basis for
Outstanding (Top 10%, but Average Judgment
(top 2-3%) not top 2-3%)
Responsibility
Maturity and self-discipline
Self-confidence
Sense of humor
Concern for others
Integrity
Reaction to setbacks
Compliance with school regulations
Cooperation with others
Recommendation: _____ recommend without reservation
_____ recommend with reservation (Please comment).
_____ do not recommend (Please comment).
Comments:
Signature __________________________________________________________________
Printed Name ______________________________________________________________ Date _________________________
DO NOT RETURN TO THE APPLICANT.
Please sign and return to the mailbox of Dr. Clark by Monday, October 4th. Thank youPERSONAL STATEMENT Topic: Pick ONE of the five aphorisms: (Character) “Our characters are a result of our conduct.” –Aristotle (Character) “The integrity of a person is not how much wealth he or she acquires, but in his or her integrity and his or her ability to affect those around him or her positively.”-adapted from Bob Marley (Leadership) “The wisdom of admitting your weaknesses and correcting them through continuous learning means leadership.”-A. James (Scholarship) “I would prefer even to fail with honor than win by cheating.”-Sophocles (Service) “Unless someone like you cares a whole awful lot, nothing is going to get better. It's not.” ~Dr. Seuss (Service) “Don't mistake activity with achievement.” John Wooden Guidelines: 1.This must be typed, double-spaced and be 250-300 words. Stay within length requirements. 2.You must use Size 12 Times New Roman Font with 1 inch margins. 3.This must be on a separate sheet of paper and attached to your application. 4. Be specific. Provide examples from your personal life and connect to and INCLUDE the selected aphorism. These aphorisms apply to the 4 pillars of NHS 5. This needs to be written as you would an essay with an attention grabber, main topic (thesis), well developed details, smooth flow, and effective closing.
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