Innovation Lab National Honor Society Candidate Interest Form: Deadline: September 24th: 11:59 PM
If you are sophomore status with 3.3 GPA or above and interested in National Honor Society; Please Fill out this form.  Please read about the general membership information & selection process, before completing the interest form.  Also, it is encouraged to read about the 4 pillars of the society. Complete all required sections by the published deadline. When listing experiences, only list from grade 9 and above. Do not be modest.  All information will be used by faculty council to assist with the fair consideration of your candidacy during the selection process. Completion of this form does not guarantee selection.  Should you have questions about this form, please contact Kelsea Franklin: kfranklin@nsd.org    
Email *
Name: First and Last  *
Student ID  *
GPA *
Crew Teacher *
Leadership Positions: List all elected or appointed leadership position you have held in school, community, or work activities.  Only those positions in which you were responsible for directing or motivating others should be included.  Examples: student body offices, club, committee, chairperson, team captain, newspaper editor, work area manager, or other community leader.  Please include the grade completed (grade 9 &/or above) and name of the adult responsible for supervising your leadership in each position.  *
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 speaking, service activities are those that are done for or on behalf of others for which no compensation (monetary or other) have been given. Better World Day Projects are great activities to list here. Please include grade completed (grade 9 or above), the name of the adult who can verify participation in the service, and the estimated number of hours performing the service.  *
Other student activities: List all other school-based activities (not noted in previous responses), in which you have participated in school.  Include clubs, teams, groups, etc. Please include grade completed (grade 9 &/Or above), an adult supervisor, and any accomplishments in each.   *
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 participated for the betterment of your community.  Examples: religious groups, clubs outside of school, Boy or Girl Scouts, community art endeavors, etc.  Do not repeat participation already listed above.  Please include grade completed (grade 9 &/or above) and adult supervisor of each activity.   *
Work Experience, Recognition and Awards: Though not a specific criterion for membership, please list below any job experiences, honors or recognition you have received that support your candidacy for membership in the Honor Society.  Work experience may be paid or volunteer.  Please include grade completed (grade 9 &/or above), adult supervisor, description, and number of hours.   *
Interested Candidate Signature (electronic): 
I understand that completing 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.  Typing my first and last name acts as an electronic signature.  
 *
Date of Interested Candidate Signature *
Date
Parent/Guardian Signature: I have read the information provided by my student (interested candidate), on this form and can verify that it is true accurate and complete. Typing first and last name acts as an electronic signature.   *
Parent/Guardian Signature Date *
Date
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