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Central Valley National Honor Society
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Application for Membership
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Part 1: Administrative Information
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Name: Sidney Wood
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Curent Grade: 11th Current GPA: 93.5
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Part 2: Activities
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Directions: In the space below, please list any activities or organizations you have been apart of in the past.
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Please consider all activities, including Girl/Boy Scouts, Youth/Church Group, etc, as well as school activities.
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and athletics. An example is given for you. Add rows as needed.
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Name of GroupYears InvolvedLeadership Roles HeldSupervisor/Sponsor
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Methodist Youth Group2010-presentDevotions leaderToni Nolze
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Girl Scouts
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Zion Lutheran Youth Group
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VolleyballTodd Beck
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BasketballBrad Williams
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Track
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SoftballMike Rother
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FFARobert Swett
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FCCLAKathleen Kennedy
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Part 3: Community Service
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Directions: In the space below, list the community service activities you have participated in. Please indicate if the
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activity was school-sponsored or not. Add rows as needed. An example is given.
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Name of Activity
Hours of Service
Years InvolvedSupervisor/Sponsor
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Youth Group City Clean-up152013-2015Toni Nolze
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Part 4: Employment
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Directions: In the space below, list any job you have held. Be specific in the description of each job. An example is
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given. Add rows as needed.
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Place of EmploymentYears WorkedDescription of Responsiblities. Supervisor/Sponsor
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North Loup Pool2014-2015Supervise patrons, clean, work with othersCarrie Hansen/Caren Moody
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Greeley Pool
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Whistler's Pub2014-2015waitress, clean, and work with others
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Part 5: Awards & Recognition
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Directions: In the space below, list any awards you have earned or special recogntion you have received from any of the
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activities/organziation/jobs or any others. An example is given. Add rows as needed.
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Name of AwardYear Received Brief DescriptionSupervisor/Sponsor
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Girl Scouts Gold Award2014Service award for playground equipmentCarrie Hansen
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