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Hialeah Gardens High School's National Honor Society Application
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This form is due by 3:00 p.m. Friday, November 17, 2017.
Please complete all sections of this application to the best of your knowledge. Do not be modest. Every bit of information can be used by the Faculty Council to assist with the selection process.
Section I: Student Information
Student Last Name:
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Student First Name:
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Student ID Number:
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Grade Level:
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1st Period Teacher and Room Number
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2nd Period Teacher and Room Number
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3rd Period Teacher and Room Number
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4th Period Teacher and Room Number
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5th Period Teacher and Room Number
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6th Period Teacher and Room Number
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7th Period Teacher and Room Number
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8th Period Teacher and Room Number
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Section II: Assessment of Character
Have you ever been disciplined by an administrator?
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* If yes, please explain.
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Have you ever been served a high school detention?
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* If yes, how many? Please provide reason(s).
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List all honors/awards received during high school.
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Section III: Assessment of Scholarship
Cumulative UNWEIGHTED GPA:
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Cumulative WEIGHTED GPA:
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Have you ever earned a D or F as a final nine-week grade?
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* If yes, please explain.
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Have you ever committed any acts of academic dishonesty?
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* If yes, please explain.
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Section IV: Assessment of Leadership
List all leadership positions you have held in the community or other activities.
Leadership Position/Organization/Date(s) of Participation
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List all school-sponsored extracurricular activities of which you are a member and/or officer.
Position/Activity/Advisor or Coach’s name/Date(s) of Participation:
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Section V: Assessment of Service
List community or school activities in which you have participated.
Service Project/Organization/Supervisor Name/Date(s) of Participation:
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Section VI: Additional Requirements
I promise to e-mail Ms. M. Gonzalez, NHS sponsor, a copy of my academic transcript (found in my Student Portal) by 3:00 p.m. on Friday, November 17, 2017.
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I am fully aware that it is my responsibility to remain informed of NHS events and can find updated information from the club's website (gladiatornhs.weebly.com), Instagram, Twitter, Snapchat, and/or Remind.
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I signed up for NHS's Remind @hghsnhs18
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Section VI: NHS Agreement
Along with your parent(s), read the following statement and type your full legal names below which will serve as your signatures:
We understand that membership in the National Honor Society is an honor and that membership is based on scholarship, character, service, and leadership. We also understand that completion of this form only places a student in consideration for membership. The Faculty Council will review the form and teacher recommendations, and their decisions will be final, confidential, and irreversible. We avow that the information on this document is true to the best of our knowledge.
Student Name
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Parent Name
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