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Canyon View High School<= /st1:PlaceType> - National Honor Society

Application for Membership

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Directions: Please complete all sections. (Please type) Do not be modest.  All information wil= l be used by

the Faculty Council to assist with the selection process. Completion of this = form does not guarantee selection.

I. Administrative Information

Name_______________________________=

Address_______________________________________= ______

Phone ____________________

email address ____________________________________

II. Cu= rricular Activities- List all activiti= es in which you have participated during high school. Include clubs, teams, mus= ical groups, etc., and major accomplishments in each.

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Year

 

Accomplishments=

 

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III. Leadership positions - List all elected or appointed leadership posit= ions held in school, community, or work activities. Only t= hose positions in which you were directly responsible for directing or motivating others should be included.= For example, elected student body, class, or club officer; committee chairperson; team captain; newspaper editor; work area manager;= or community leader.

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Year

 

Accomplishments=

 

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10

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IV. Se= rvice Activities - List service activities in which = you have participated. These can be ser­vice projects done with a group either in or out of school, or done as individual projects perform­ing service. Generally speaking, service activities are those which are done = for or on behalf of oth­ers (not including immediate family members) for which no compensation (monetary or other) has been given. Please list the name of an adult supervisor who can verify your participation in each activity.

 

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Year

 

Signature of Adult S= ponsor

 

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V. Other community Activities - List= other community activities in which you have partici­pated and note any maj= or accomplishment in each. These should be any activities outside of school = in which you participated for the betterment of your community. For example: church groups, clubs sponsored outside the school, Boy or Girl Scouts, or community art endeavors. Do not repeat participation already listed above= .

Community

 

Year

 

Hours/Week

Major

Signature of

Activity

9

10

11

12

 

Accomplishments

Adult Sponsor

 

 

 

 

 

 

 

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- List= below any job experiences, honors, or recognition that you have received that support your bid to be selected for membership in the National Honor Society. Work experience may be paid or volunteer.

Job, Recognition or Award

 

Year

 

Group or Activity/ Description

 

9

10

11

12

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


I understand that completing this form does not guarantee selection to NHS, and that the infor­mation presented here = is accurate.

Student Signature________________________________________________________________= _________

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I have read the information provided by my son/daughter on this form and can verify that it is true, accurate and complete in its presentation.

 

Parent/Guardian Signature________________________________________________________________= ___

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**Complete and return this form to Mr. Uluave or M= rs. Goodwin .   Please note the deadlines in our letter.

 

The Faculty Council will review all applications a= nd you will be notified by mail if you are selected as a member of the CVHS  National= Honor Society.       &nbs= p;            &= nbsp;           &nbs= p;    

 

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