Student Application Form 2014 Due: September 5 to Mrs. Moffitt in Room 508

Transcription

1 Tempe Preparatory Academy Chapter of the National Honor Society Student Application Form 2014 Due: September 5 to Mrs. Moffitt in Room 508 Directions: Please complete all sections. Type or print all information and submit it by the due date above. Do not be modest. Every bit of information will be used by the Faculty Council to assist with the fair consideration of your candidacy during the selection process. Completion and submission of this form does not guarantee selection. Should you have questions about this form, please contact Mrs. Karin Moffitt, TPA Academic and College Counselor at kmoffitt@tempeprep.org. Requirements to Be Invited to Become a Candidate for membership in NHS (due September 5): 1. Scholarship: Students eligible for selection must be members of the Junior or Senior class and should have a minimum cumulative grade point average (GPA) of 3.0 by the end of the prior school year. 2. Leadership: Significant and active participation with leadership responsibilities in 2 or more extracurricular activities (including school and community activities). 3. Service: 10 or more hours for each of the prior school years must be completed and recorded in x2vol.com. 4. Character: No Academic Honor Code violations, no more than 4 detentions (or 2 Saturday detentions), and zero suspensions in the prior or current school year. 5. Pay annual membership fee of $20.00 due September 5 with application (cash or check payable to TPA ). Requirements to be Inducted as a Member of NHS and Maintain Your Membership (due December 13): 1. Scholarship: Maintain a minimum cumulative Grade Point Average (GPA) of 3.0 at the end of each semester. 2. Leadership: a. Attend a minimum of 6 NHS meetings each semester (approximately 8 meetings for each semester) and serve in a leadership role for at least one NHS activity. b. Significant and active participation with leadership responsibilities in 2 or more extracurricular activities (including school and community activities) each year, including Senior year. c. Take leadership responsibility or coordinate at least one NHS group activity in the academic year. d. Attend at least one TPA Board Meeting (see school calendar for dates). 3. Service: Complete a minimum of 15 community service hours must be completed and recorded in x2vol each semester (by December 10 for the fall semester and May 1 for the spring semester), a. All members are required to participate in at least 5 hours of TPA NHS Chapter sponsored group service projects. b. The 10 additional hours may be in TPA NHS Chapter sponsored group service projects or other individual service projects that comply with TPA community service guidelines and selected by members according to their own talents and interests. c. All service hours must be recorded on x2vol within 7 days (1 week) of the service performed. d. Service must include at least one service experience at each of the following by December 13: i. Serve on a jury for Teen Court. ii. Serve the homeless at St. Vincent de Paul, Paz de Cristo, Child Crisis Center, or St. Mary s Food Bank. iii. Pack food for international relief at Feed My Starving Children. e. All service hours must be recorded on x2vol within 7 days (1 week) of the service performed. 4. Character: No Academic honor Code violations and no more than 4 detentions (or 2 Saturday detentions) and zero suspensions in the prior or current school year. 5. Points: Candidates must complete 50 points by December 13. I. Administrative Information Student Name Current Grade Level

2 II. Leadership Positions List all elected or appointed leadership positions or other positions of responsibility held in school, community, or work activities. Only those positions in which you were responsible for directing or motivating others should be included (e.g., elected officer for the class, or club; committee chairperson; team captain; newspaper editor; work area manager; or other community leader). Year Leadership Position Activity/Organization Supervising Adult III. 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, service activities are those that are done for or on behalf of others (not including immediate family members) for which no compensation (monetary or otherwise) has been given. Year Activity Hours of Service Supervising Adult IV. Other Student Activities List all other school-based activities in which you have participated in school. Include sports, clubs, musical groups, etc., and any significant accomplishments in each. Year Activity Accomplishments

3 V. Other Community Activities List other community activities (outside of school) in which you have participated for the betterment of your community (e.g., religious groups, clubs sponsored outside the school, Boy or Girl Scouts, community art endeavors, etc.). Do not repeat participation already listed above. Hours of Year Community Activity Service Accomplishments Supervising Adult V. Work Experience, Recognition, and Awards Though not a specific criterion for membership, please list below any job experiences, honors, or recognition that you have received, paid or volunteer. Hours Spent on Year Job, Recognition, or Award Group or Activity Job or Activity (if Applicable) Supervising Adult VI. Signatures Student: I understand that completing and submitting 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. [ ] I understand that all NHS communications will be sent to me through Naviance so I will keep my address current in my Naviance profile. I understand that I can also go to my Messages on my Naviance page and retrieve all prior s sent through Naviance. I also understand that NHS members have created a TPA NHS Facebook Group to facilitate organization and communication about activities and I am invited but not required to participate on Facebook (join the TPA NHS group through the Counselor Moffitt page). Student Signature Date Parent: I have read the information provided by my son/daughter on this form and can verify that it is true, accurate, and complete. I understand that all school and NHS parent communications will be sent to me through Naviance so I will keep my parent address current in my student s Naviance profile. Parent Signature Date

4 NHS Calendar August 4 Monday: Greet students 7:20am 12 Tuesday: All returning NHS members lunch meeting 12pm 15 Friday: FMSC 8-9:30 PM (#437516) 19 Tuesday: Officers' meeting 26 Tuesday: NHS Meeting/Eligible Candidates invited September 2 Tuesday: Officer's Meeting 3 Wednesday: Teen Court at Tempe High 5 Friday: NHS Applications Due 6 Saturday: FMSC 7-9 PM (#515901) 9 Tuesday NHS Meeting 10 Wednesday: Senior x2vol Meeting 11 Thursday: Junior x2vol Meeting 12 Friday: 6th Grade Buddy Breakfast 13 Saturday: ACT 16 Tuesday: Officers' Meeting 20 Saturday: Child Crisis Center 6-7pm 22 Monday: Teen Court at TPA 3:30-5:30pm 23 Tuesday: NHS Meeting 28 Sunday: Phoenix College Fair October 1 Wednesday: Teen Court at Tempe High 11 Saturday: SAT 13 Monday: College Day at TPA 14 Tuesday: Officers' Meeting 15 Wed: PSAT 21 Tuesday: NHS Meeting 24 Friday: FMSC 8-9:30 PM (#515912) 25 Saturday: ACT 27 Monday: Teen Court at TPA 3:30-5:30pm 28 Tuesday: Officers' Meeting November 4 Tuesday: NHS Meeting 5 Wednesday: Teen Court 8 Saturday: SAT 11 Tuesday: Officers' Meeting 15 Saturday: Turkey Trot/Pancake Breakfast? Feathers for Food Fundraiser 18 Tuesday: NHS Meeting 24 Monday: Teen Court at TPA 3:30-5:30pm 25 Tuesday: Officers' Meeting 29 Saturday: St. Vincent de Paul 9am-1pm December 1-12 Toy Drive 2 Tuesday: NHS Meeting 3 Wednesday: Teen Court at Tempe HIgh 5 Saturday: SAT 9 Tuesday: NHS Meeting Turn in points 13 Saturday: ACT/NHS Service Hours Due 19 Friday: FMSC 8-9:30 PM (#515952) January 6 Tuesday: Officers' Meeting 7-16 M&M Fundraiser 7 Wednesday: Teen Court at Tempe High 13 Tuesday: NHS Meeting 16 Friday: FMSC 8-9:30 PM (#515985) 20 Tuesday: Officers' Meeting 21 Wednesday: Child Crisis Center 6-7pm 24 Saturday: SAT 26 Monday: Teen Court at TPA 3:30-5:30pm 27 Tuesday: NHS Meeting 30 Friday: 6th Grade Buddy Breakfast 31 Saturday: St. Vincent de Paul 9am-1pm February 3 Tuesday: Officers' Meeting 4 Wednesday: Teen Court at Tempe High 5 Thursday: NHS Induction 7 Saturday: ACT 9-13: Krispy Kreme Valentine Fundraiser 10 Tuesday: NHS Meeting 13 Friday: FMSC 8-9:30 PM (#515988) 14 Saturday: Father-Daughter Valentine Social 17 Tuesday: Officers' Meeting 23 Monday: Teen Court at TPA 3:30-5:30pm 24 Tuesday: NHS Meeting March 3 Tuesday: Officers' Meeting 4 Wednesday: Teen Court at Tempe High 6 Friday: FMSC 14-19: Senior Trip 20 Friday: NHS Officers' Statements Due 21 Saturday: Child Crisis Center 6-7pm 23 Monday: Teen Court at TPA 3:30-5:30pm 24 Tuesday: NHS Meeting - Officer Elections April 1 Wednesday: Teen Court at Tempe High 3 Friday: FMSC 7 Tuesday: Officers' Meeting 14 Tuesday: NHS Meeting 15 Wednesday: Child Crisis Center 6-7pm 18 Saturday: ACT 21 Tuesday: Officers' Meeting 27 Monday: Teen Court at TPA 3:30-5:30pm 28 Tuesday: NHS Meeting May 1 Friday: FMSC 2 Saturday: SAT 5 Tuesday: Officer Meeting 12 Tuesday: NHS Meeting Service Hours & Points Due

5 TPA NHS Point Sheet Fall Semester - Points due December 13 Name Grade Meeting Points (4 ea., 24 min) In Club Service (5 min) In & Out of Club Service (10 min) Leadership (5 min) Other Total (50 min)