Candidate Form for Membership Review
National Honor Society
Southampton High School Chapter

Please complete all sections.  Type or print all information and submit it by the published deadline.  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. Kingery at bkingery@southampton.k12.va.us.  

Candidate form must be submitted electronically to Mrs. Kingery at bkingery@southampton.k12.va.us no later than Monday, October 10, 2016.
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Candidate’s Name:  _____________________________________________

Parents’/Guardians’ Name (s): _______________________________________________

Address: __________________________________________________________________

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EXTRACURRICULAR ACTIVITIES—List all activities (clubs, teams, musical groups, etc) in which you have participated in during high school.  Include grade levels of participation as well as any special honors you have received. 

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LEADERSHIP ACTIVITES—List and describe any leadership positions you have held in school, community, or work activities.  Include any activity in which you were responsible for directing or motivating others.  Include grade level(s) of participation.  

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SERVICE ACTIVITIES—List and describe service projects done individually or with a group whether in or out of school and which have been beneficial to others, excluding immediate family, and for which no compensation (monetary or otherwise) has been given.  Include grade level(s) of participation and estimated number of hours you invested while performing this service.  

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OTHER ACTIVITIES—List and describe other non-school related activities in which you have participated but have not included above.  Include any work experience, activities, or honors that support your candidacy for membership in the National Honor Society. 

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ESSAY 1— Explaining why you should be considered for the National Honor Society membership and what you can contribute to the organization. (100-150 words)

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ESSAY 2 – An important aspect of National Honor Society is community service.  What organization do you think we should focus one of the service projects towards?  Why should we support this organization?  (100-150 words)

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ESSAY 3 – Describe a fundraiser or service project that would benefit the organization stated above. (100-150 words)