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KamiakNationalHonorSocietyApplication
FullLegalName
PreferredName
GraduationYear
Congratulations,youhavemetthestandardofscholarshipfortheNationalHonorSociety.EachmemberoftheKHSFacultyCouncilwillrateeachstudentontheirLeadership,Service,andPersonalStatementusingtheApplicationRubric(seeattached).TheCharacterscorewillbeaveragedfromstudent’ssubmittedCharacterRecommendations.Rubricswillbetotaledandscoreswillbeaveragedtodeterminetheapplicant’sscore.Ascoreof13outof16(withno“1”scores)willserveasaguidelineforselectionandnon-selection,butthefinalselectionmustbemadebythemajorityvoteoftheFacultyCouncil.Completionandsubmissionofthisapplicationdoesnotguaranteeselection.MembershipintheNationalHonorSocietyisoneofthehighesthonorsthatcanbeawardedtoahighschoolstudentandrequirescontinuedresponsibilityandobligationsofdemonstratingstandardsinallfourareasofcriteria.
CriteriaforNationalHonorSociety
• Scholarship(3.5G.P.A.)
Studentswhoearn(andmaintain)acumulativegradepointequivalentstandardofexcellenceof3.5orabovemeetthescholarshiprequirementformembership.Thesestudentsaretheneligibleforconsiderationonthebasisofservice,leadership,andcharacter.*Candidatesmustbemembersofthesophomore,junior,orseniorclass.
• Service
This quality is defined through the voluntary contributions made by a student to the school or community, done withoutcompensationandwithapositive,courteous,andenthusiasticspirit.
• Leadership
Student leaders are those who are resourceful, good problem solvers, promoters of school activities, idea-contributors,dependable, and persons who exemplify positive attitudes about life. Leadership experiences can be drawn from school orcommunityactivitieswhileworkingwithorforothers.
• Character
Thestudentofgoodcharacterupholdsprinciplesofmoralityandethics,iscooperative,demonstrateshighstandardsofhonestyandreliability,showscourtesy,concern,andrespectforothers,andgenerallymaintainsagoodandcleanlifestyle.
GroundsforDismissal
StudentsmayberemovedfromNationalHonorSocietyforanyofthefollowing:• AcademicDishonesty(plagiarism,cheating,etc.)• Volunteerhoursnotcompletedand/orturnedinontime(onewarningbeforedismissal)• CumulativeGPAdroppingbelow3.5fortwoconsecutivesemesters• Suspensionorexpulsion
Procedures
Completetheapplicationform(continuedonthebackofthissheet).Writeneatlyandlegibly.PersonalStatement:Typeyourpersonalstatementandattachittoyourapplication.Prompt:Whatdoeshonormeantoyouandhowhaveyoudemonstratedit?(300-350words).Characterrecommendationforms:givetothreepeopletowhomyouarenotrelatedtocomplete(theywillturnthemin).AtleasttwomustbeteachersatKamiak(butnotnecessarilyyourcurrentteachers).Youandyourparent/guardianread,signandturnintheentirecompletedpacketbyMarch29, 2019tothebasketinthelibrary or room 221.
IunderstandthatcompletingandsubmittingthisformdoesnotguaranteeselectiontotheHonorSociety.Iattestthattheinformationpresentedhereiscompleteandaccurate.Ifselected,Iagreetoabidebythestandardsandguidelinesofthechapterandtofulfillallofmymembershipobligationstothebestofmyability.Iamawarethatsomeoftheactivitieswilloccuronweekends,afterschoolhours,andintheevenings.
_____________________________________________________________________ _____________________________StudentSignature Date
Ihavereadtheinformationsubmittedbymyson/daughteronthisformandcanverifythatitistrue,accurate,andcomplete.____________________________________________________________________ _____________________________Parent/GuardianSignature Date
Leadership:Listelectedorappointedleadershippositionsheldinschool,community,orworkactivitiessince8thgrade.
Activity Dates Description
ex.SpanishClub 2013-14 ClubPresident:plannedandranmeetings,organizedcommittees
Service:Listanyactivitiesyouhaveinitiatedandundertakenwhichhavebeendoneonthebehalfofotherswithoutanycompensationsince8thgrade.
Service Dates Description
ex.ReadingBuddies 3/14to6/14 Readwith1st&2ndgradersatCOtwiceaweekforanhourafterschool.
OtherActivities:Listotherextracurricularactivities,bothschool-andcommunity-based,inwhichyouhaveparticipatedsince8thgrade.Includeclubs,teams,musicalgroups,Scouts,workexperience,etc.Includespecificevents,majoraccomplishments,Varsitylettersearned,and/oranyotheractivitiesorexperiencesyoufeelarenotable.
Experience Dates Description
PersonalStatement(Essay)
Thepersonalstatementisanimportantpartofthisapplication.Ithelpsusbecomeacquaintedwithyouinwaysdifferentfromyourgradesandobjectivedataandenablesyoutodemonstrateyourabilitytoorganizeyourthoughtsandexpressyourself.Pleasetypeyourresponseandattachittoyourcompletedapplicationform.Yourstatementshouldbebetween300-350words.
EssayPROMPT:Whatdoeshonormeantoyouandhowhaveyoudemonstratedit?
Kamiak National Honor Society Character Evaluation
Applicant Name ______________________________________________ Year of Graduation __________
Recommender Name ____________________________ Relationship to Student: ________________________
Oneofthe“pillars”oftheNationalHonorSocietyisCharacter.Thispillarisvitaltothedevelopmentofthestudentanditisnecessaryforthestudenttoexcelinthisareasoftrustworthiness,respect,responsibility,fairness,caring,andcitizenship.PleasegiveNHSareflectionofthestudent’sCHARACTERbycompletingthesurveybelow.
What are three words that come to mind when you think of this student?
_______________________________________________________________________________________ I would ___ would not ___ recommend this individual for National Honor Society.
Teacher comments:
Teacher Signature ___________ Date _____________________ CONFIDENTIAL: DO NOT RETURN TO THE STUDENT
TheStudentofCharacter…Always
4Sometimes
3Rarely
2Never1
Takescriticismwillinglyandacceptsrecommendationsgraciously.Consistentlyexemplifiesdesirablequalitiesofbehavior(cheerfulness,friendliness,poise,stability).Upholdsprinciplesofmoralityandethics.Cooperatesbycomplyingwithschoolregulationsconcerningproperty,programs,activities,andallotherpoliciesandrulesconcerningschooloperations.Demonstratesthehigheststandardsofhonestyandreliability.Regularlyshowscourtesy,concern,andrespectforothers.Observesinstructionsandrules,punctuality,andreliabilitybothinsideandoutsidetheclassroom.Haspowersofconcentration,self-discipline,andsustainedattentionasshownbyperseveranceandapplicationtostudies.Manifeststruthfulnessinacknowledgingobediencetorules,avoidingcheatinginwrittenwork,andshowingunwillingnesstoprofitfromthemistakesofothers.Activelyworkstoimprovetheschoolenvironment.
Please return this form to MELISSA STORR’s mailbox (or room 221) by Friday, 3/29. Thank you! (or send to Kamiak HS, attn.: NHS,
10801 Harbour Pointe Blvd.1, Mukilteo, WA 98275
Kamiak National Honor Society Character Evaluation
Applicant Name ______________________________________________ Year of Graduation __________
Recommender Name ____________________________ Relationship to Student: ________________________
Oneofthe“pillars”oftheNationalHonorSocietyisCharacter.Thispillarisvitaltothedevelopmentofthestudentanditisnecessaryforthestudenttoexcelinthisareasoftrustworthiness,respect,responsibility,fairness,caring,andcitizenship.PleasegiveNHSareflectionofthestudent’sCHARACTERbycompletingthesurveybelow.
What are three words that come to mind when you think of this student?
_______________________________________________________________________________________ I would ___ would not ___ recommend this individual for National Honor Society.
Teacher comments:
Teacher Signature ___________ Date _____________________ CONFIDENTIAL: DO NOT RETURN TO THE STUDENT
TheStudentofCharacter…Always
4Sometimes
3Rarely
2Never1
Takescriticismwillinglyandacceptsrecommendationsgraciously.Consistentlyexemplifiesdesirablequalitiesofbehavior(cheerfulness,friendliness,poise,stability).Upholdsprinciplesofmoralityandethics.Cooperatesbycomplyingwithschoolregulationsconcerningproperty,programs,activities,andallotherpoliciesandrulesconcerningschooloperations.Demonstratesthehigheststandardsofhonestyandreliability.Regularlyshowscourtesy,concern,andrespectforothers.Observesinstructionsandrules,punctuality,andreliabilitybothinsideandoutsidetheclassroom.Haspowersofconcentration,self-discipline,andsustainedattentionasshownbyperseveranceandapplicationtostudies.Manifeststruthfulnessinacknowledgingobediencetorules,avoidingcheatinginwrittenwork,andshowingunwillingnesstoprofitfromthemistakesofothers.Activelyworkstoimprovetheschoolenvironment.
Please return this form to MELISSA STORR’s mailbox (or room 221) by Friday, 3/29. Thank you! (or send to Kamiak HS, attn.: NHS,
10801 Harbour Pointe Blvd.1, Mukilteo, WA 98275
Kamiak National Honor Society Character Evaluation
Applicant Name ______________________________________________ Year of Graduation __________
Recommender Name ____________________________ Relationship to Student: ________________________
Oneofthe“pillars”oftheNationalHonorSocietyisCharacter.Thispillarisvitaltothedevelopmentofthestudentanditisnecessaryforthestudenttoexcelinthisareasoftrustworthiness,respect,responsibility,fairness,caring,andcitizenship.PleasegiveNHSareflectionofthestudent’sCHARACTERbycompletingthesurveybelow.
What are three words that come to mind when you think of this student?
_______________________________________________________________________________________ I would ___ would not ___ recommend this individual for National Honor Society.
Teacher comments:
Teacher Signature ___________ Date _____________________ CONFIDENTIAL: DO NOT RETURN TO THE STUDENT
TheStudentofCharacter…Always
4Sometimes
3Rarely
2Never1
Takescriticismwillinglyandacceptsrecommendationsgraciously.Consistentlyexemplifiesdesirablequalitiesofbehavior(cheerfulness,friendliness,poise,stability).Upholdsprinciplesofmoralityandethics.Cooperatesbycomplyingwithschoolregulationsconcerningproperty,programs,activities,andallotherpoliciesandrulesconcerningschooloperations.Demonstratesthehigheststandardsofhonestyandreliability.Regularlyshowscourtesy,concern,andrespectforothers.Observesinstructionsandrules,punctuality,andreliabilitybothinsideandoutsidetheclassroom.Haspowersofconcentration,self-discipline,andsustainedattentionasshownbyperseveranceandapplicationtostudies.Manifeststruthfulnessinacknowledgingobediencetorules,avoidingcheatinginwrittenwork,andshowingunwillingnesstoprofitfromthemistakesofothers.Activelyworkstoimprovetheschoolenvironment.
Please return this form to MELISSA STORR’s mailbox (or room 221) by Friday, 3/29. Thank you! (or send to Kamiak HS, attn.: NHS,
10801 Harbour Pointe Blvd.1, Mukilteo, WA 98275
KamiakNHSApplicationRubric
StudentName________________________________________________________________________Score_________/16
DirectionsforFacultyCouncilMembers:Circlethescorethatbestdescribestheinformationprovidedineachsectionoftheapplication.Then,addthescoresandwriteinanoverallscoreabove.
Character(fromcharacterevaluations)4 3 2 1
Thestudentdemonstratescharacterinthefollowingsixareas:respect,responsibility,fairness,trustworthiness,caring,andcitizenship.Thestudentupholdsthehigheststandardsofhonestyandisreliable.He/sheshowshighstandardsforcharacterbothinsideandoutsidetheclassroom.
Thestudentmoreoftenthannotdemonstratesthesixqualitiesofcharacterandgenerallymakeschoicesthatreflectthesestandardsformorality,ethics,andrespectforauthority.He/sheistruthful,cooperative,courteous,andrespectful.
Thestudentunderstandsthequalitiesofcharacterandinguided/supervisedsituationswillmakechoicesthatreflecthighstandards.His/herbehavioratschool,work,church,orhomemaynotbeconsistentwithbehaviorinothercircumstances.
Thestudent’sbehavior,attitudes,andchoicesreflectnegativecharactertraits.He/sheshowslittleregardforauthorityorforprinciplesofmoralityandethics,andisanegativeinfluenceonhis/herpeers.
Leadership4 3 2 1
Thestudentexercisesleadershipinschooloroutsideofschoolthroughelectedorappointedpositions.He/sheworkstobeapositiveinfluenceonhis/herpeersandinturn,isregardedpositivelybypeers.
Studenthasledinatleastonearea,perhapstemporarily,suchaschairingacommitteeinanorganization.Studentisdependable,responsible,andpositive.He/sheisapositiveinfluenceonothersandcontributestothewell-beingoftheschool.
Studentisdependableandresponsible,buthesitatestodemonstrateinitiativeorcontributeideas.Thestudentiseasilyinfluencedbyothersratherthanbeingwillingtotaketheleadorinfluenceothersinapositivefashion.
Noevidenceofleadershipqualitiesorpositions,formalorinformal.His/herpeersdonotregardhim/herpositively.
Service4 3 2 1
Thestudentwillinglyvolunteersforservice,bothinorganizedactivitiesandininformalsituations.He/shedemonstratescourtesy,respect,dependability,andenthusiasm.He/sheworkswellwithothersandderivesgenuinesatisfactionfromservingothers.
Thestudenthelpswithservingothers,butdoesn’thaveadirectimpact(helpingwithaone-timeevent,forexample).He/shegenerallydemonstratescourtesy,respect,dependability,andenthusiasm.
Thestudentrendersservicetoothers,butusuallyonlywhenasked.He/shemaybeundependableattimes.Thestudentisgenerallymoremotivatedbypersonalgainthanbyawillingheart.
Thestudentshowsnosignsofsignificantservicetoothers.
PersonalStatement4 3 2 1
Thoughtful,succinct,sincere,andaddstooverallimpressionofstudent.Freeoferrorsandneatlytyped.
Clearandinformational;givessomeinsightbuttheremaybeerrors.
Tendstoberepetitiveorsuperficialratherthanaddinformationorinsight.Maycontainnumerouserrors.
Doesnotaddtooverallimpressionofstudent.Hastilyputtogether.
Acceptable Acceptable NotAcceptable NotAcceptable
