ROCHELLE TOWNSHIP HIGH SCHOOL NATIONAL HONOR SOCIETY – FORM I

 

STUDENT ACTIVITY INFORMATION FORM

Directions: Please complete all sections. Do not be modest. Every bit of information can be used by the faculty council to assist with the selection process. Completion of this form does not guarantee selection.

(Please fill out all sections of the form on a computer or typewriter.)

  1. Administrative Information

    2. Name: _________________________________

    Other information as required:

  2. Cocurricular Activities: List all activities in which you have participated during high school. Include clubs, teams, musical groups, etc., and major accomplishments in each.

    3. Year in School

    Activity

    9

    10

    11

    12

    Accomplishments

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     
  3. Leadership Positions: List all elected or appointed leadership positions held in school, community, or work activities. Only those positions in which you were directly responsible for directing of motivating others should be included. For example, elected student body, class, or club officer; committee chairperson, team captain, newspaper editor, work area manager, or community leader. IF YOU ARE UNSURE WHETHER A PARTICULAR POSITION QUALIFIES AS A LEADERSHIP ACTIVITY, PLEASE DISCUSS THIS WITH THE NATIONAL HONOR SOCIETY ADVISOR OR ANOTHER TEACHER.

    4. Year in School

    Leadership Position

    9

    10

    11

    12

    Activity or Organization

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     
  4. Community Activities: List 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. For example: church groups, clubs sponsored outside the school, Boy or Girl Scouts, volunteer groups, or community art endeavors.

    5. Year in School

    Community Activity

    9

    10

    11

    12

    No. of Hrs/Wk.

    Major Accomplishment

    Signature of Adult Sponsor

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     
  5. Work Experience, Recognition, and Awards: List below any job experiences, honors, or recognitions that you have received which support your bid to be selected for membership in the National Honor Society. Work experience may be paid or volunteer.

Year in School

Job, Recognition, or Award

9

10

11

12

Group or Activity/ Number of Hours Spent on Job or Volunteer Activity