2010 nhs application
TRANSCRIPT
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Candidate Profile
Packet
NATIONAL HONOR SOCIETY JACKSON CHAPTER
2010 2011
Jackson Memorial High SchoolJackson, New Jersey
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National Honor Society Jackson Chapter
Outline of Procedures in Completing Candidate Profile
Membership in the National Honor Society is based upon the demonstrated characteristics of Scholarship, Service, Leadership, and Character.
SCHOLARSHIP
To be eligible for membership, a student must attain a fixed and specific grade point average. Academic ranking will be used for the purposes of making thedetermination on grade point average. Ineligible students may request that their GPA bereviewed to insure its accuracy. In order to qualify for membership status, one must earn a4.0 GPA or higher.
Attaining the grade point average brings students to the first level of candidacy.Verifying the academic records allows a student to proceed to the next level. At any point in the selection process, a student may withdraw his/her candidacy. Students who do not withdraw thereby give their consent to have their candidacy reviewed in accordance withthe established procedures.
SERVICE , LEADERSHIP, and CHARACTER
1. To complement their academic accomplishments, candidates must demonstrateand document, sustained interest, effort, and achievement in extra-curricular activities or volunteer work. Candidates are asked to submit a list of school and/or community
activities in which they have participated during high school. Students must request verification to be submitted from three different (3) advisors/coaches of the listed activities which must include at least one service or volunteer . This verification must attest to the candidates active participation and to the demonstrated characteristics of service, leadership, and character. It is the responsibility of the candidate to insure that the verification statements are submitted in accordance with established timelines. Anunsatisfactory advisor verification will be reason for non-acceptance into the chapter.
2. Candidates will also be asked to submit recommendations from three (3) teachers attesting to their service, leadership, and character.
3. All candidates will be required to complete an essay . More specific informationregarding the required essay can be found in the packet.
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National Honor Society Jackson Chapter
HELPFUL HINTS
In order to increase your chances of acceptance, please read carefully the following list of dos and do nots.
DO
*Do complete all information on the forms neatly and legibly.
*Do list a variety of activities (e.g. one sport, two clubs, etc.).
*Do submit your application on time. Failure to submit the completed application byThursday, October 7, 2010 will constitute automatic disqualification.
*Do list activities in which you have been a member for at least one full year.
*Do use the appropriate recommendation forms.
* Do return your completed application directly to Ms. Bunce Room 145.
*Do complete the top portion of all forms (Teacher Recommendation and Advisor Verification).
*Do give considerable thought and care in writing the essay.
*Do type your essay.
*Do provide community advisors with a stamped envelope addressed to Ms. Bunce.
*Do verify that the advisor has signed in both places on the Advisor Verification Form.
DO NOT
*Do not list a paid activity (e.g. baby-sitting, part-time jobs, etc.) as one of your three (3)required activities.
* Do not list an activity that you have not participated in for a year. (Example: an activity you have just joined this fall or late last spring).
*Do not list middle school activities.
* Do not list private volunteer work.
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National Honor Society Jackson Chapter
Candidate Data Form
Name___________________________________________________________________(Last) (First) (Middle Initial)
Grade:_______ Counselor:_____________________________
I have______have not______ failed any course in high school.
I have______have not______had credit withdrawn because of attendance problems in
high school.
I have______have not______been involved in any disciplinary matter while at Jackson
Memorial High School which resulted in ASD, ISS, or OSS.
I have ______have not______violated the Academic Integrity Code (plagiarism,
cheating, counterfeit work, theft, unauthorized reuse of work)
If have is checked, please explain the situation in which you have been involved using
the back of the paper if necessary. _______________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Signature_______________________________________
Date____________________________________________
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Student Activity Report
Candidat es name:________________________________________________________
Instructions to candidates:
1. Please list below the activities, both school and community, in which you have participated during your school career. Do not list activities you have intentions of
joining this fall . In addition, list any honors or awards which you have earned during highschool and any summer and/or part-time jobs you held. Remember, any falsification will be considered an adverse reflection on your character.
2. Please have three (3) teachers/advisors complete the Advisor EvaluationChecklist forms included in this packet. Please have your coach, advisor, or teacher submit the evaluation directly to Ms. Bunce, or mail it to Ms. Bunce, Jackson Memorial
High School, 101 Don Connor Boulevard, Jackson, New Jersey 08527, or fax to(732) 833-4600 no later than October 1, 2010.
I. School Activities (Student Council, Clubs, etc.)
ACTIVITY GRADE
POSITION TIME ADVISORS NAME & DAYTIME PHONE #
SIGNATUREOF ADVISOR
Example:Literary Views 10, 11
Staff (10)Editor (11)
1 hr./wk.30 wk./yr.
Mr. Miller 555-0000
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II. Sports (Please indicate Freshman, JV, or Varsity)
SPORT GRADE POSITION TIME COACHS NAME AND DAYTIME PHONE #
SIGNATUREOF ADVISOR
Example:Varsity Soccer
11, 12 Goalie 10 hrs./wk.
Coach Don Smith 555-0000
III. Honors/Awards (Honor Roll, athletic awards, etc.)
HONOR/AWARD DATE RECEIVED Example:
Principals Honor Roll 11/30/03, 3/5/04
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IV. Employment (Summer, part-time, etc.)
PLACE OFEMPLOYMENT
DATE OFEMPLOYMENT
POSITION TIME EMPLOYERS NAME AND DAYTIME PHONE #
IV. Community Activities (Scouts, religious organizations, hospital volunteers etc.) Must be a recognized organization.*
ACTIVITY DATE OFPARTICIPATION
POSITION TIME ADVISORS NAME & DAYTIME PHONE #
SIGNATUREOF ADVISOR
* private volunteer work does not count
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Student/Parent Acknowledgement
I understand that completing this form does not guarantee selection to theNational Honor Society, and that the information presented here is accurate.
_______________________________________________ ________________ Student Signature Date
I have read the information provided by my son/daughter on this application and can verify that it is true, accurate, and complete in its presentation.
_______________________________________________ ________________ Parent/Guardian Signature Date
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Candidate Checklist
Before submitting your candidate profile, check that the followingrequirements have been met:
-Essay completed according to guidelines.
-Recommendations requested of three (3) teachers.
-Candidate Data Form completed and signed.
-Student Activity Report completed.
-Advisor verifications requested of three (3) advisors/coaches withsignature on front and back of form.
-Student/Parent Acknowledgement signed and dated.
-All information submitted according to required timelines--finaldeadline is Thursday, October 7, 2010.
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Teacher Recommendation for the National Honor Society
Student: Please complete your name, name of teacher,and title of course before giving the recommendation to the teacher.
Name of Candidate_____________________________________________
Name of Teacher Writing Recommendation___________________________Title and level of the course _______________________________________
Please check the appropriate box (5 is best)
1 2 3 4 5
Academic Motivation Respectful
Academic Self-Discipline Leadership Concern for others
Responsible/Accountable Maturity
Personal Initiative Reaction to Setback
Honesty/Integrity
TOTAL NUMERIC SCORE: ____________
Please feel free to write whatever you think is important about the applicant. We welcome information that will help us differentiate this student from others who seek entrance into the National Honor Society. Please use the reverse side for your additional comments.
Please do not complete or sign the recommendation unless the student hascompleted the top part of this form.
Signature_________________________________________Date___________
Please return to Ms. Bunces mailbox before October 8 th 2010
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Teacher Recommendation for the National Honor Society
Student: Please complete your name, name of teacher,and title of course before giving the recommendation to
the teacher.Name of Candidate_____________________________________________
Name of Teacher Writing Recommendation___________________________Title and level of the course _______________________________________
Please check the appropriate box (5 is best)
1 2 3 4 5
Academic Motivation Respectful
Academic Self-Discipline
Leadership Concern for others Responsible/Accountable
Maturity Personal Initiative
Reaction to Setback Honesty/Integrity
TOTAL NUMERIC SCORE: ____________
Please feel free to write whatever you think is important about the applicant. We
welcome information that will help us differentiate this student from others who seek entrance into the National Honor Society. Please use the reverse side for your additional comments.
Please do not complete or sign the recommendation unless the student hascompleted the top part of this form.
Signature_________________________________________Date___________
Please return to Ms. Bunces mailbox before October 8th 2010
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Teacher Recommendation for the National Honor Society
Student: Please complete your name, name of teacher,and title of course before giving the recommendation to
the teacher.Name of Candidate_____________________________________________
Name of Teacher Writing Recommendation___________________________Title and level of the course _______________________________________
Please check the appropriate box (5 is best)
1 2 3 4 5
Academic Motivation Respectful
Academic Self-Discipline
Leadership Concern for others Responsible/Accountable
Maturity Personal Initiative
Reaction to Setback Honesty/Integrity
TOTAL NUMERIC SCORE: ____________
Please feel free to write whatever you think is important about the applicant. We
welcome information that will help us differentiate this student from others who seek entrance into the National Honor Society. Please use the reverse side for your additional comments.
Please do not complete or sign the recommendation unless the student hascompleted the top part of this form.
Signature_________________________________________Date___________
P lease return to Ms. Bunces mailbox before October 8 , 2010
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National Honor Society
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Advisor Recommendation
S e p t e m b e r 2 , 2 0 1 0
D e a r A d v i s o r ,
T h e s t u d e n t s n a m e o n t h e a t t a c h e d s h e e t h a s i n d i c a t e d t h a t y o u w e r e a
c o a c h / a c t i v i t y a d v i s o r f o r a s c h o o l o r c o m m u n i t y a c t i v i t y a t s o m e p o i n t
d u r i n g h i s / o r h e r h i g h s c h o o l y e a r s .
T h i s s t u d e n t i s a c a n d i d a t e f o r a d m i s s i o n i n t o t h e N a t i o n a l H o n o r S o c i e t y,
a n d y o u r v e r i f i c a t i o n o f p a r t i c i p a t i o n i n t h e l i s t e d a c t i v i t y i s e s s e n t i a l t o
t h e s e l e c t i o n p r oc e s s . S t u d e n t s s e l e c t e d f o r a d m i s s i o n m u s t h a v e
d e m o n s t r a t e d s u p e r i o r s c h o l a r s h i p . To c o m p l e m e n t t h e i r a c a d e m i c
a c c o m p l i s h m e n t s , s t u d e n t s m u s t d e m o n s t r a t e s u s t a i n e d i n t e r e s t ,
e f f o r t , a n d a c h i e v e m e n t i n e x t r a c u r r i c u l a r a c t i v i t i e s o r v o l u n t e e r w o r k .
W e a s k t h a t y o u v e r i f y t h i s s t u d e n t s p a r t i c i p a t i o n a n d c o n t r i b u t i o n t o y o u r
a c t i v i t y.
I f y o u a r e a s t a f f m e m b e r h e r e a t t h e h i g h s c h o o l , p l e a s e r e t u r n t h e
i n f o r m a t i o n t o m y m a i l b o x b y O c t o b e r 8 , 2 0 1 0 . I f y o u a r e c o m m u n i t y
m e m b e r , k i n d l y f a x t o 7 3 2 - 8 3 3 - 4 6 0 0 o r m a i l t o :
M s . K a t h l e e n B u n c e
N a t i o n a l H o n o r S o c i e t y A d v i s o r
J a c k s o n M e m o r i a l H i g h S c h o o l
1 0 1 D o n C o n n o r B o u l e v a r d
J a c k s o n , N J 0 8 5 2 7
T h a n k y o u f o r y o u r c o o p e r a t i o n ,
S i n c e r e l y,
K a t h l e e n A . B u n c e
N a t i o n a l H o n o r S o c i e t y A d v i s o r
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National Honor SocietyJackson Chapter
Student: Please complete your name, name of the advisor, and the name ofthe activity before giving the recommendation to the advisor.
Name of Candidate________________________________________________ Name of Advisor Writing Recommendation____________________________ Name of Activity (be specific) _______________________________________ Dates of participation in activity______________________________________
Please check the appropriate box (5 is best)
1 2 3 4 5
SERVICE:
Attended at Least 75% ofmeetings or classesWillingly helped out beyondminimal requirementsFulfilled committed obligations
LEADERSHIP: Took initiativeExhibited growth in self-confidenceLed a committee or activityHeld positions of responsibilityPromoted the groups activitiesWas a positive influenceWorked well with othersFollowed through on tasks
CHARACTER: ReliableResponsibleHonestSincere and courteous
TOTAL NUMERIC SCORE: ____________
Please complete the second page of the evaluation and sign.
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Comments: Please make any additional comments, which will assist the selection committee in the decision-making process . Please explain and item rated below 3.THE INFORMATION CONTAINED HERE IS STRICTLY CONFIDENTIAL.
Please return to Ms. Bunce before October 8, 2010
Signature_________________________________________Date___________________
*Daytime Phone:______________________________*Evening Phone_________________
*Required for Community Advisors Only
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National Honor Society
Jackson Chapter
Advisor Recommendation
S e p t e m b e r 2 , 2 0 1 0
D e a r A d v i s o r ,
T h e s t u d e n t s n a m e o n t h e a t t a c h e d s h e e t h a s i n d i c a t e d t h a t y o u w e r e a
c o a c h / a c t i v i t y a d v i s o r f o r a s c h o o l o r c o m m u n i t y a c t i v i t y a t s o m e p o i n t
d u r i n g h i s / o r h e r h i g h s c h o o l y e a r s .
T h i s s t u d e n t i s a c a n d i d a t e f o r a d m i s s i o n i n t o t h e N a t i o n a l H o n o r S o c i e t y,
a n d y o u r v e r i f i c a t i o n o f p a r t i c i p a t i o n i n t h e l i s t e d a c t i v i t y i s e s s e n t i a l t o
t h e s e l e c t i o n pr o c e s s . S t u d e n t s s e l e c t e d f o r a d m i s s i o n m u s t h a v e
d e m o n s t r a t e d s u p e r i o r s c h o l a r s h i p . To c o m p l e m e n t t h e i r a c a d e m i c
a c c o m p l i s h m e n t s , s t u d e n t s m u s t d e m o n s t r a t e s u s t a i n e d i n t e r e s t ,
e f f o r t , a n d a c h i e v e m e n t i n e x t r a c u r r i c u l a r a c t i v i t i e s o r v o l u n t e e r w o r k .
We a s k t h a t y o u v e r i f y t h i s s t u d e n t s p a r t i c i p a t i o n a n d c o n t r i b u t i o n t o y o u r
a c t i v i t y.
I f y o u a r e a s t a f f m e m b e r h e r e a t t h e h i g h s c h o o l , p l e a s e r e t u r n t h e
i n f o r m a t i o n t o m y m a i l b o x b y O c t o b e r 8 , 2 0 1 0 . I f y o u a r e c o m m u n i t y
m e m b e r , k i n d l y f a x t o 7 3 2 - 8 3 3 - 4 6 0 0 o r m a i l t o :
M s . K a t h l e e n B u n c e
N a t i o n a l H o n o r S o c i e t y A d v i s o r
J a c k s o n M e m o r i a l H i g h S c h o o l
1 0 1 D o n C o n n o r B o u l e v a r d
J a c k s o n , N J 0 8 5 2 7
T h a n k y o u f o r y o u r c o o p e r a t i o n ,
S i n c e r e l y,
K a t h l e e n A . B u n c e
N a t i o n a l H o n o r S o c i e t y A d v i s o r
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Student: Please complete your name, name of the advisor, and the name ofthe activity before giving the recommendation to the advisor.
Name of Candidate________________________________________________ Name of Advisor Writing Recommendation____________________________ Name of Activity (be specific) _______________________________________ Dates of participation in activity______________________________________
Please check the appropriate box (5 is best)
1 2 3 4 5
SERVICE:
Attended at Least 75% ofmeetings or classesWillingly helped out beyondminimal requirementsFulfilled committed obligations
LEADERSHIP: Took initiativeExhibited growth in self-confidenceLed a committee or activityHeld positions of responsibilityPromoted the groups activitiesWas a positive influenceWorked well with othersFollowed through on tasks
CHARACTER: ReliableResponsibleHonestSincere and courteous
TOTAL NUMERIC SCORE: ____________
Please complete the second page of the evaluation and sign.
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Comments: Please make any additional comments, which will assist the selection committee in the decision- making process. Please explain and item rated below 3.THE INFORMATION CONTAINED HERE IS STRICTLY CONFIDENTIAL.
Please return to Ms. Bunce before October 8, 2010
Signature_________________________________________Date___________________
*Daytime Phone:______________________________*Evening Phone_________________
*Required for Community Advisors Only
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National Honor Society
Jackson Chapter
Advisor Recommendation
S e p t e m b e r 2 , 2 0 1 0
D e a r A d v i s o r ,
T h e s t u d e n t s n a m e o n t h e a t t a c h e d s h e e t h a s i n d i c a t e d t h a t y o u w e r e a
c o a c h / a c t i v i t y a d v i s o r f o r a s c h o o l o r c o m m u n i t y a c t i v i t y a t s o m e p o i n t
d u r i n g h i s / o r h e r h i g h s c h o o l y e a r s .
T h i s s t u d e n t i s a c a n d i d a t e f o r a d m i s s i o n i n t o t h e N a t i o n a l H o n o r S o c i e t y,
a n d y o u r v e r i f i c a t i o n o f p a r t i c i p a t i o n i n t h e l i s t e d a c t i v i t y i s e s s e n t i a l t o
t h e s e l e c t i o n pr o c e s s . S t u d e n t s s e l e c t e d f o r a d m i s s i o n m u s t h a v e
d e m o n s t r a t e d s u p e r i o r s c h o l a r s h i p . To c o m p l e m e n t t h e i r a c a d e m i c
a c c o m p l i s h m e n t s , s t u d e n t s m u s t d e m o n s t r a t e s u s t a i n e d i n t e r e s t ,
e f f o r t , a n d a c h i e v e m e n t i n e x t r a c u r r i c u l a r a c t i v i t i e s o r v o l u n t e e r w o r k .
We a s k t h a t y o u v e r i f y t h i s s t u d e n t s p a r t i c i p a t i o n a n d c o n t r i b u t i o n t o y o u r
a c t i v i t y.
I f y o u a r e a s t a f f m e m b e r h e r e a t t h e h i g h s c h o o l , p l e a s e r e t u r n t h e
i n f o r m a t i o n t o m y m a i l b o x b y O c t o b e r 8 , 2 0 1 0 . I f y o u a r e c o m m u n i t y
m e m b e r , k i n d l y f a x t o 7 3 2 - 8 3 3 - 4 6 0 0 o r m a i l t o :
M s . K a t h l e e n B u n c e
N a t i o n a l H o n o r S o c i e t y A d v i s o r
J a c k s o n M e m o r i a l H i g h S c h o o l
1 0 1 D o n C o n n o r B o u l e v a r d
J a c k s o n , N J 0 8 5 2 7
T h a n k y o u f o r y o u r c o o p e r a t i o n ,
S i n c e r e l y,
K a t h l e e n A . B u n c e
N a t i o n a l H o n o r S o c i e t y A d v i s o r
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Student: Please complete your name, name of the advisor, and the name ofthe activity before giving the recommendation to the advisor.
Name of Candidate________________________________________________ Name of Advisor Writing Recommendation____________________________ Name of Activity (be specific) _______________________________________ Dates of participation in activity______________________________________
Please check the appropriate box (5 is best)
1 2 3 4 5
SERVICE:
Attended at Least 75% ofmeetings or classesWillingly helped out beyondminimal requirementsFulfilled committed obligations
LEADERSHIP: Took initiativeExhibited growth in self-confidenceLed a committee or activityHeld positions of responsibilityPromoted the groups activitiesWas a positive influenceWorked well with othersFollowed through on tasks
CHARACTER: ReliableResponsibleHonestSincere and courteous
TOTAL NUMERIC SCORE: ____________
Please complete the second page of the evaluation and sign.
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Comments: Please make any additional comments, which will assist the selection committee in the decision- making process. Please explain and item rated below 3.THE INFORMATION CONTAINED HERE IS STRICTLY CONFIDENTIAL.
Please return to Ms. Bunce before October 8, 2010
Signature_________________________________________Date___________________
*Daytime Phone:______________________________*Evening Phone_________________
*Required for Community Advisors Only