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Membership in National Honor Society is an honor based equally on service, character, leadership, and scholarship. Please complete ALL sections
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of this personal profile to provide information about your activities and service. A five-member Faculty Council will use this information along with
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teacher evaluations to select new members. As you complete this form, please keep in mind that we are looking for students that participte in
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a variety of activities both in, and out of Harlem High School .
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* COMPLETING THIS FORM DOES NOT GUARANTEE SELECTION TO NATIONAL HONOR SOCIETY
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Please TYPE or PRINT
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NameGrade
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School Attended Last Semester
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School's Address
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I understand that completing this form does not guarantee selection to National Honor Society and that the information presented
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here is accurate and does not misrepresent me in any way. I understand that membership is based on character, service,
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leadership, and academics. If selected for induction, I accept the responsibility and obligation to demonstrate these qualities and
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follow the constitution and by-laws of National Honor Society. I understand to be a member I must maintain a minimum of five
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academic classes. I am not in violation of the Target Policy.
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Student NameDate
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Student SignatureTurning this form in will count as your signature
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I have read the information provided by my son/daughter on this form and can verify that it is true, accurate, and complete in its presentation.
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Parent NameDate
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Parent email
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Parent SignatureThe completed Google Consent form sent through email will be considered a Parent Signature
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