Shorecrest National Honor Society Application for 2015-16
Name _________________________________________________________
Date ________________________
Graduation Year ____________
Cumulative GPA ______________
Please complete this application for consideration of membership in Shorecrest National Honor Society. You
will need to provide information about scholarship (your GPA), service, leadership, and character. A parent or
guardian signature is required. The following elements will also help determine your overall score:
• Listing activities only once
• Entries in all columns
• Neatness of application
• Accuracy of spelling, grammar, and punctuation
Use this Word application if you prefer typing your answers. Or you may use the hard copy/PDF application if
you prefer writing your answers by hand (blue or black ink only). Insert additional rows or attach additional
sheets as needed. Printed copies of all pages are due by 3:30 p.m., Friday, March 27, 2015. Please deliver to the
Shorecrest College & Career Center.
Service and Leadership
Service and Leadership Part I: Co-curricular Activities
List Shorecrest activities in which you have participated. Examples of school activities are clubs, teams, musical
groups, etc. NOTE: You may choose to list more than six activities. Insert additional rows as needed.
Co-curricular
Activity
Dates
Involved
Accomplishments
Advisor or
Supervisor
Leadership
Title (optional)
Service and Leadership Part II: Community Activities
List non-Shorecrest activities in which you have participated during your high school years. These are outsideof-school activities that have contributed to the betterment of your community. Examples include church
groups, clubs, Boy or Girl Scouts, volunteer groups, community art endeavors, etc. It is acceptable to include
community service hours required for graduation. NOTE: You may choose to list more than six activities. Insert
additional rows as needed.
Community
Activity
Dates
Involved
Accomplishments
Advisor or
Supervisor
Leadership
Title (optional)
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Service and Leadership Part III: Work Experience, Recognition/Awards
List work experiences, honors, awards and recognition you have received during your high school years. Work
experiences can be paid jobs, or volunteer work not listed in the community activities section. Examples of
recognition are Student of the Month, Employee of the Month, scholarship awards, academic or art awards, etc.
NOTE: You may choose to list more than four activities in each chart below. Insert additional rows as needed.
Work Experience
Title or Role
Dates
Involved
# Hours Company or Organization
Per Mo.
Advisor or
Supervisor
Recognition/Awards
Name
Date Received
Description (optional)
Character
According to NHS, “the student of good character can be said to be one who upholds principals of morality and
ethics; is cooperative and responsible, demonstrates high standards of honesty and reliability; shows courtesy,
concern, and respect for others; and is a good citizen.”
In 50 words or less, describe a situation in which you exemplified good character.
Parent/Guardian Section
Please verify the following by signing in space below:
•
My child has had no honesty policy violations while at Shorecrest.*
•
My child has not violated the Shoreline School District’s Student Leadership Code of Conduct.*
* A violation does not necessarily preclude a student from membership to NHS. If a violation has occurred, the
student should attach a letter addressed to the Shorecrest National Honor Society Faculty Council detailing the
offense, why there should be consideration for membership in NHS despite the offense, what was learned from the
experience, and how the four pillars of honor society will be demonstrated in the future. A parent/guardian
signature must be included on the letter.
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•
I have completely reviewed my child’s NHS application.
•
My child has completed the application in a professional manner and has included information that will
help the committee in its selection process.
My child ___ did / ___ did not attend the NHS application workshop offered.
Parent Signature: ________________________________________________
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