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National Honor Society Application Packet Bridgehampton School District Chapter, DUE: Wednesday, May 29th at 2:45pm
Election to membership in the National Honor Society represents the highest honor and trust that can be bestowed upon a student. National Honor Society recognizes students for outstanding SCHOLARSHIP, LEADERSHIP, SERVICE, and CHARACTER. Membership in the society is indicative that the student has attained and is demonstrating and promoting all of these qualities and is exerting an effort to improve conditions in our school and community.
Membership Eligibility
1. The student may be a member of the sophomore, junior, or senior class.
2. The student must have been in attendance at Bridgehampton Union Free School District for one semester prior to applying.
3. New students who transfer to Bridgehampton Union Free School District who are already members of NHS will be added to our NHS roll but will be expected to immediately demonstrate the qualities of an NHS member or he/she may be dismissed from membership.
4. A student must have earned a cumulative grade point average of 92% or above.  The rigor of the student’s schedule will also be a considering factor. The student must have at least 4 of the following core classes: Social Studies, English, Science, Math, Foreign Language.  
5. Current members will be continually reevaluated for membership and must uphold the tenets of character as listed in the bylaws or subject to removal.
6. A student with discipline infractions (see student/parent handbook for examples) will be allowed to apply, but the discipline infractions will be weighed and determined in the student’s application for membership.
7. The student must show a documented commitment to community service.
Selection Process
1. Students who are academically eligible and who have no major discipline infractions in their record will be notified by the faculty advisor of their eligibility to apply. Eligibility to apply in no way guarantees membership in NHS.
2. Eligible students will complete the application and submit all materials and supporting information to the Faculty Advisor by May 24, 2023 (2:45 pm). Incomplete or late applications will not be considered (see NHS Checklist for Application, NHS Application, and NHS Personal Assessment Essay).
3. Members of the committee will complete an evaluation that will become part of the student’s profile. Evaluation forms will be given only to teachers who are qualified to assess the student (see sample Teacher Evaluation form).
4. The student’s application with all supporting documents, essay, teacher evaluations, and discipline record (if applicable) will all be carefully considered by the faculty council, the members of which will be appointed by the principal. The faculty advisor will not be a voting member of the council nor privy to council discussions. Student applications and teacher evaluations will be numbered by the faculty advisor so that the faculty council is voting solely on the information presented by the student him/ herself and his/her teachers; thus, all applications will be anonymous to the faculty council. Students must secure a majority of the faculty council vote to be nominated for membership.
5. The faculty advisor will review the selection results with the principal before notifying any candidates. All student profiles and teacher evaluations will remain confidential to protect the integrity of the process and the relationship between the student and his/her teachers.

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NAME: *
DATE: *
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National Honor SocietyChecklist for Application Name of Student Applicant: Instructions to the student applicant:  
Please use the checklist below to assist you in meeting important application criteria. Skill in following instructions is considered a key attribute of worthy NHS candidates. All criteria below MUST be met in order for an application to be given consideration by the Bridgehampton Union Free School District chapter of the NHS. *
Required
National Honor Society Application                                                          Bridgehampton Chapter of the National Honor Society
Directions: Please complete all sections. Type or print all information and submit it by the published deadline. Do not be modest. If you do not have room on the provided sheet, you may attach additional information on a separate sheet; please be careful to document which portion of the application you are adding information (i.e. part II, part III, part IV, part V, part VI)
Every bit of information will be used by the Faculty Council to assist with the fair consideration of your candidacy during the selection process.
Completion and submission of this form does not guarantee selection. Should you have questions about this form, please contact Mrs. Reilly.

NAME: *
CURRENT GRADE LEVEL: *
II. Leadership Positions -
List all elected or appointed leadership positions or other positions of responsibility held in school, community, or work activities. Only those positions in which you were responsible for directing or motivating others should be included (e.g., elected officer for the student body, class, or club; committee chairperson; team captain; newspaper editor; work area manager; or other community leader). Please PROVIDE THE PHONE NUMBER of the adult responsible for supervising your leadership in each activity.
GRADE...LEADERSHIP POSITION...ORGANIZATION OR ACTIVITY...SUPERVISING ADULT.                         EXAMPLE:  9TH-TEAM CAPTAIN SOCCER...MR. DEROSA (631-555-5555)                                                                                         10TH YEARBOOK EDITOR- MISS SUAREZ (631-555-5556)   ETC. *
III. Service Activities -
List service activities in which you have participated. These can be individual or group service projects, done either in or out of school. Generally, service activities are those that are done for or on behalf of others (not including immediate family members) for which no compensation (monetary or otherwise) has been given. Please PRIVIDE A TELEPHONENUMBER of the supervising adult, and also list the estimated number of hours you invested while performing this service.
GRADE...SERVICE ACTIVITY...HOURS...SUPERVISING ADULT.                         EXAMPLE:  9TH-SOUP KITCHEN, MAUREEN'S HAVEN...10 HOURS....MR. HAVEN (631-555-5555)                                                                                         10TH...BEACH CLEAN UP...2 HOURS....MISS NATURE (631-555-5556)   ETC. *
IV. Other Student Activities -
List all other school-based activities (not noted above) in which you have participated in school. Include clubs, teams, musical groups, etc., and any significant accomplishments in each.
GRADE...ACTIVITY...ACOMPLISHMENT...                         EXAMPLE:  11TH, PSAT SCORED 99TH PERCENTILE...                                         12TH- NYS CLASS D BASKETBALL FINALIST...                                                     12TH - SCHOOL MUSICAL/STADE DESIGN....   *
V. Other Community Activities -
List other community activities in which you have participated and note any major accomplishment in each. These should be any activities outside of school in which you have participated for the betterment of your community (e.g., religious groups, clubs sponsored outside of the school, Boy or Girl Scouts, community art endeavors, etc.). Do not repeat participation already listed above. Please include the name of the adult supervisor of each activity.
Year...CommunityActivity....Hours....Accomplishments...Supervising Adult                                                                            EXAMPLE: 11TH...BOY SCOUTS...25 HRS...EAGLE SCOUT...MR. CRAWFORD (631-555-5558) *
VI. Work Experience, Recognition, and Awards -
Though not a specific criterion for membership, please list below any job experience, honors, or recognition that you have received that supports your candidacy for membership in the Honor Society. Work experience may be paid or volunteer.
Year...Job Recognition or Award...Group or Activity...Hours Spent on Job or Activity...Supervising Adult                   EXAMPLE:  9TH...HIGH HONOR ROLL...    10TH...AFS SCHOLARSHIP RECIPIENT...                                  11TH...PANERA BREAD...1 YEAR                                                                     *
VII. Signatures
I understand that completing and submitting this form does not guarantee selection to the Honor Society. I attest that the information presented here is complete and accurate. If selected, I agree to abide by the standards and guidelines of the chapter and to fulfill all of my membership obligations to the best of my ability.
BY CHECKING THIS BOX, I CERTIFY THAT ALL INFORMATION PROVIDED WITHIN THIS APPLICATION IS TRUE. *
Required
DATE: *
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PARENT/GUARDIAN SIGNATURE:                                        BY CHECKING THIS BOX, I CERTIFY THAT ALL INFORMATION MY CHILD HAS PROVIDED WITHIN THIS APPLICATION IS TRUE. *
Required
DATE: *
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PARENT/GUARDIAN TELEPHONE NUMBER (We request this so that we can notify you regarding important details.Return completed form to Mrs. Reilly, mreilly@bridgehamptonschool.com) *
National Honor SocietyPersonal Assessment Essay
To be completed and submitted with your application for membership to the Bridgehampton Union Free School District chapter of NHS
 
While interested in your academic and community achievements, the National Honor Society is also interested in your attitude towards what it holds most important - namely scholarship, leadership, character, and service.

·        How do you view your schoolwork, and what is your attitude towards doing it?·        Does your attendance and interest in learning reflect scholarship?·        Do you want to influence others, and do you try?·        What aspirations for leadership do you have?·        What do you see as your strong points of character; what character traits are you working to develop?·        Service is a daily opportunity on a small and a grand scale; what is your attitude toward serving others? Please write a 400 word essay in which you assess your present attitudes in these areas and state your goals for growing in them.
400 WORD ESSAY: *
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