RIVERVIEW CHAPTER OF THE NATIONAL HONOR SOCIETY

National Honor Society is more than just an honor roll. The Honor Society

chapter establishes rules for membership that are based upon a student's outstanding performance in the areas of SCHOLARSHIP, SERVICE, LEADERSHIP, and CHARACTER. These criteria for selection form the foundation upon which the organization and its activities are built.

Scholarship: Sophomore (after completion of 3 high school semesters), junior, and senior students who have an unweighted cumulative grade point average of 3.5 (on a 4.0 scale) meet the scholarship requirement for membership. These students are then eligible for consideration on the basis of service, leadership, and character.

Service: This quality is defined through the voluntary contributions made by a student to the school or community, done without compensation and with a positive, courteous, and enthusiastic spirit.

Leadership: Student leaders are those who are resourceful, good problem solvers, promoters of school activities, idea-contributors, and dependable persons who exemplify positive attitudes about life. Leadership experiences can be drawn from school or community activities while working with or for others.

Character: The student of good character upholds principles of morality and ethics, is cooperative, demonstrates high standards of honesty and reliability, shows courtesy, concern, and respect for others, and generally maintains a good and clean lifestyle.

National Honor Society Candidate Form

Once you have met the standard of scholarship. The standards of character, leadership, and service will be

reviewed.

Membership in National Honor Society entails a commitment. Apply for membership only if you are willing to

attend meetings and participate in planned NHS activities.

All sections of this form MUST be completed and in Ms. Rohm’s hands by 3:45pm on Friday, March 1,

2019. (Print the form from the Riverview Web site, write your answers in blue or black ink, staple in order,

and turn in.)

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.

Student Name Do not write in this section

Address Applicant Number

City, State Zip Total Points

Phone Faculty Recommendation

Grade

Parent Name

Phone Number

Email Address

Please bold preferred method of contact

Parent Name

Phone Number

Email Address

Please bold preferred method of contact

Take this portion of the packet to your guidance counselor to verify your cumulative unweighted grade point average at

Riverview High School. Remember you must have at least a 3.500 unweighted GPA to qualify for NHS.

Unweighted GPA ___________ Community Service Hours ____________

Verified by: ______________________________________________ Date: _________ Guidance Counselor’s Signature

I have read the instruction and requirements for completing this form and understand my responsibilities. I agree to accept

the decision of the Faculty Council concerning my acceptance or non-acceptance into National Honor Society, and I

understand that my application will become the property of National Honor Society. Under no circumstances will it be

available for review by me or my parents after I have submitted it for evaluation. I also agree to fulfill all National Honor

Society obligations if accepted. I understand that my acceptance and retention in National Honor Society is based on my

meeting and continuing to meet all four of the criterion: Scholarship, Leadership, Character, and Service.

_________________________________________________________________ _________________ Student Signature Date

As the parent or legal guardian of a National Honor Society candidate, I understand the procedure for acceptance into this

very prestigious organization. I agree to accept the decision of the Faculty Council concerning my child’s acceptance or

non-acceptance into National Honor society, and I understand that my child’s application will become the property of

National Honor Society. Under no circumstances will it be available for review by my child of me after he/she has

submitted it for evaluation. I realize that my child’s grade point average is not the only determining factor for induction

into National Honor Society and that he/she may be removed from the organization, after due process, of it is determined

that he/she is not fulfilling his/her obligation to the society.

__________________________________________________________________ __________________ Parent Signature Date

Look over Sections I.-VIII. to become familiar with the various categories. Then list all activities in which you

have participated during high school in the appropriate section. Include clubs, teams, musical groups, etc., and

major accomplishments or awards in each. Include activities you know you will participate in during this school

year. For example, if you know you will participate in track, but the season hasn’t begun, please include it. If you

participated in any service activity within the school activity, list that along with the number of hours you

performed the service. Generally speaking, service activities are those which are done for or on behalf of others

(not including immediate family members) for which no compensation (monetary or other) has been given. You

must also obtain the signature of the adult who can verify your participation in each activity.

I. School Clubs: 9 10 11 12 Sponsor Signature

II. School Athletics: 9 10 11 12 Coach Signature

III. School Music/Drama: 9 10 11 12 Director Signature

IV. Community Service/Volunteer Work

and Hours Served: 9 10 11 12 Sponsor Signature

V. Elected Offices/Awards/Recognition: 9 10 11 12 Sponsor Signature

VI. Post-Secondary: 9 10 11 12 Counselor Signature

VII. Employment: 9 10 11 12 Employer Signature

VIII. Community Organizations/Miscellaneous: 9 10 11 12 Sponsor Signature

IX. Discipline Infractions (what and why) : 9 10 11 12 Assistant Principal Signature

*This includes ISS,OSS, Detention, Arrest or Pickup.

**If none, write N/A through the box

X. Essay/Personal Statement:

The objectives of the National Honor Society are to create an enthusiasm for scholarship, to stimulate a desire to

render service, to promote worthy leadership, and to encourage the development of character in all students at

Riverview High School. Membership in this society is a great honor, not a right. This organization looks upon

education as a product measured by four standards: scholarship, leadership, character, and service.

Your personal statement is a very important part of the application process in that it helps the faculty council

become acquainted with you in ways different from courses, grades, test scores, and other objective data. It also

enables you to demonstrate your ability to organize thoughts and express yourself. In your own words, explain in

your essay the qualifications you have that exemplify the ideals of the National Honor Society.

Type your essay on a new page. Use 12-point Times New Roman font.

XI. Letters (3) of Recommendation in regards to Scholarship, Service, Leadership and Character: Please

ask recommender to address the four pillars in their letters. We want to see how others view your character.

Recommenders should be adults with whom you have worked closely with in either an educational environment,

in acts of volunteerism, or in a professional atmosphere. These need to be typed, SIGNED and attached to your

application.

Bylaws of the Riverview High School Chapter of National Honor Society ARTICLE I – MEMBERSHIP

Section 1. Membership in the Riverview High School Chapter of National Honor Society is an honor and privilege bestowed upon a student. It is not

a right. Final selection for membership is by a Faculty Council and is based on an outstanding application, scholarship, character, leadership, and

service. Once selected, members have a responsibility to continue to demonstrate these qualities.

Section 2. The Faculty Council shall reserve the right to award honorary membership to school officials, principals, teachers, NHS advisers, or adults in

recognition of outstanding service rendered to the school in keeping with the purpose of the National Honor Society.

Section 3. Candidates become members when inducted at a special ceremony held in the spring of each year.

Section 4. Seniors who are members in good standing are eligible to apply to be nominated by their chapter to compete in the National Honor Society

Scholarship Program. The Faculty Adviser and Faculty Council shall choose the two nominees from Riverview High School who shall compete nationally

for this scholarship. These two students shall be chosen based on the following criteria; scholarship, leadership, service to National Honor Society

and other organizations, and character.

ARTICLE II - SELECTION OF MEMBERS

Section l. To be eligible for membership, the candidate must be a member of the sophomore or junior class. Candidates must have been in attendance at

Riverview High School the equivalent of at least one complete academic semester. Juniors planning to graduate at the end of their junior year are not

eligible to apply.

Section 2. Candidates must have an unweighted cumulative grade point average of at least 3.500. Candidates shall then be evaluated on the basis of their

completed applications, service, leadership, and character. No personal interviews will be conducted.

Section 3. The criteria of service are defined in terms of contribution to the school, classmates, and the community. The student who serves must have shown

active and consistent participation in school activities as well as outside volunteer activities. Applicants must submit written proof of this service (letter on

official letterhead from the organization served, complete with signature of supervisor and address and phone number where he or she may be reached) at the

time of application and following each academic quarter after selection for membership.

Section 4. The leadership criterion is considered highly important for membership selection. Students demonstrate this leadership by successfully holding

offices or positions of responsibility in the school and the community. A leader exercises influence on peers in upholding school ideals. A leader is a

positive role model in the classroom.

Section 5. The student of character demonstrates the highest standards of honesty, responsibility, fairness, courtesy, tolerance, and cooperation. He does not

cheat and shows unwillingness to profit from the mistakes of others. He complies with school regulations. The student of character is a positive role model

both in school and in the community.

Section 6. For consideration for membership, applicants shall provide the following to the Chapter Adviser within the specified application period: signed,

notarized bylaws, pre-information and final information packets completed in blue or black ink only and including proof of all activities and

community/school service; a professional cover letter attached to the front of the application packet; all required signatures and dates. Incomplete application

packets will not be considered. All application materials become the property of National Honor Society and will not be returned to or reviewed by applicants

or their parents.

Section 7. The Riverview High School faculty and staff will review a list of students eligible to be considered for membership and will be asked to comment

on the character of these students. At no time will an applicant or his parent be allowed to review these comments. These responses will be part of the

recommendations used by the Faculty Council. The final selections are made only by the five members of the Faculty Council.

Section 8. After the selection meeting by the Faculty Council, the Chapter Adviser will inform each student of the decision of the Faculty Council.

Sophomores who are not selected will be encouraged to seek selection again the following year. The decision of the Faculty Council is final. Appeals are not

considered following the member selection process.

ARTICLE III– DISMISSAL

Section 1. Members who fall below the required cumulative unweighted GPA of 3.500 shall be warned in writing by the Chapter Adviser and given

one academic quarter (9 weeks) to raise the GPA to 3.500. If the student’s GPA has not recovered to at least 3.500 cumulative unweighted GPA

within that probationary period, he/she will be dismissed from National Honor Society. There is no appeal for students removed from National

Honor Society for failing to maintain the required 3.500 minimum GPA.

Section 2. Members are required to attend ALL scheduled monthly meetings. Failure to attend the mandatory monthly meetings will result in

dismissal from National Honor Society. Students missing a second monthly meeting will receive a written warning, placing them on probation with

National Honor Society. Any student who misses a third monthly meeting will be dismissed from National Honor Society.

Section 3. All infractions of school rules will be referred to the Chapter Adviser by the referring teacher and/or Vice-Principal. The NHS Chapter

Adviser shall conference with the referring teacher and offending member concerning the infraction and issue either a written warning or a dismissal

letter to the student, based on the severity of the infraction. After a second infraction, the student will be automatically dismissed from National

Honor Society.

Section 4. Serious violations of school rules or civil laws (cheating, fighting, willful disobedience, drug or alcohol abuse, stealing, etc, even in the

case of a first offense) and/or public misconduct that brings shame to the reputation of the Chapter will be immediately investigated by the Chapter

Adviser. If the Chapter Adviser decides that the facts warrant probation or dismissal, the member will be notified in writing.

Clause 1. Cheating is defined as copying the work of others, using unauthorized notes during a test, giving and receiving answers on an assignment, essay,

quiz, or test, plagiarism, selling answers to a test/exam, making multiple copies of reports/answers, or sending answers through an electronic medium.

Cheating will not be tolerated by National Honor Society. Should a member be found guilty of cheating, he/she will be removed immediately from

membership in National Honor Society. All NHS members will sign a special honor code that outlines specific obligations involving cheating.

Clause 2. Plagiarism is the attempt to pass off another’s work as one’s own. An incident of plagiarism should be regarded as serious, as one of the highest

academic crimes. An incident of plagiarism shall be dealt with in the same manner as cheating. Members can avoid plagiarism by always citing sources of

information on all school assignments.

Section 5. Serious disruptive behavior during member meetings will be grounds for immediate dismissal from National Honor Society at the discretion of the

Chapter Adviser.

Section 6. A member who has been dismissed from National Honor Society for any reason other than the GPA requirement may appeal the decision to the

Faculty Council. This appeal must be submitted in writing within five school days of the dismissal.

Section 7. A member who has received a written dismissal letter following an appeal to the Faculty Council may appeal the decision to the principal. This

appeal must be submitted in writing within five school days of the response to the Faculty Council appeal.

Section 8. No parent or guardian shall become involved in any appeal until said appeal has reached the level of the principal.

ARTICLE IV - FACULTY COUNCIL

Section 1. Faculty Council shall consist of five voting faculty members appointed annually by the principal. No principal or vice-principal may be included

on the Faculty Council.

Section 2. The term of the Faculty Council shall be one year. Members may be appointed to consecutive terms.

Section 3. The Chapter Adviser shall be an ex-officio, non-voting, sixth member of the Faculty Council.

Section 4. The Faculty Council shall meet at least twice a year to select members and to consider dismissal, non-selection, and warning cases.

Section 5. In order to maintain impartiality, the names of the Faculty Council members will not be made public.

ARTICLE V - THE CHAPTER ADVISER

Section 1. The Chapter Adviser shall be responsible for the direct day-to-day supervision of the Chapter and act as liaison between faculty, administration,

students and community.

Section 2. The Chapter Adviser shall maintain files on membership, Chapter history, activities, and financial transactions. The Chapter Adviser shall send the

annual activity report to the national office.

Section 3. The Chapter Adviser shall regularly review each member for compliance with National Honor Society standards and obligations.

Section 4. The Chapter Adviser shall help the Chapter officers understand and carry out their duties.

ARTICLE VI - CHAPTER OFFICERS

Section 1. Officers shall consist of a president, vice-president, secretary, treasurer, parliamentarian, reporter/historian, logistics coordinator.

Section 2. The president shall preside at the meetings, oversee all projects, and appoint committee chairpersons. The president is the chairperson of the

Executive Committee. This office shall be held by a senior.

Section 3. The vice-president shares the duties of the president. The vice-president shall also oversee publicity for the Chapter and shall be in charge for

organizing and carrying out the induction ceremony in the spring. This office shall be held by a junior or senior.

Section 4. The secretary notifies the membership of meetings, handles all correspondence, and keeps the membership and attendance records of the Chapter. This

office may be held by a junior or a senior.

Section 5. The treasurer keeps all the financial records of the Chapter. This office may be held by a junior or a senior.

Section 6. The parliamentarian keeps order during chapter meetings. This position may be held by a junior or a senior.

Section 7. The reporter/historian keeps all written and photographic records of the chapter activities. This position may be held by a junior or a senior.

Section 8. The logistics coordinator is an appointed position and serves as personal assistant to the Chapter Adviser.

Section 9. Officers shall be chosen each April/May for the following academic year. Each nominee must deliver a speech to the membership explaining how

he/she has been and/or will be of service to the Chapter. Nominees will meet with the Chapter Adviser for an interview and the Chapter Adviser will make

the final decision. There is no appeal process for officer selection.

Section 10. Should the president be incapacitated or otherwise unable to perform his/her duties, the vice president shall assume the position of president

until such time as the president is able to return to his/her duties.

Section 11. Should the vice president be incapacitated or otherwise unable to perform his/her duties, the duties of said office shall be divided among the

remaining officers and/or Chapter members at the discretion of the president.

Section 12. Should the treasurer or secretary be incapacitated or otherwise unable to perform his/her duties, a temporary replacement may be appointed by a

majority of the remainder of the Executive Committee.

Section 13. Should an officer’s performance be questionable, a member or faculty advisor has the right to bring a complaint against the officer before the

Chapter Adviser and Faculty Council. If the Chapter Adviser and Faculty Council agree, a two-thirds majority vote of the general membership and simple

majority of the Faculty Council shall be required to remove an officer from his/her office. The Society shall fill vacancies in the manner delineated above.

Section 14. All Riverview High School National Honor Society officers must be scheduled into an official NHS homeroom section.

ARTICLE VII - EXECUTIVE COMMITTEE

Section 1. The Executive Committee shall consist of the seven officers and the Chapter Adviser.

Section 2. The Executive Committee shall have the general supervision of the affairs of the Chapter between general member meetings, make

recommendations to the Chapter, and determine and perform such other duties as necessary. All actions and recommendations of the Executive Committee

shall be subject to the review of the Chapter Adviser and general membership.

Section 3. The Executive Committee shall have the responsibility for ensuring that Chapter activities and procedures follow school policy and regulations.

ARTICLE VIII – ACTIVITIES

Section 1. The Executive Committee shall determine one or more service projects for each month. All members must participate in at least three of these

group service projects every quarter (9 weeks grading period). All members must earn a minimum of eight service hours per semester as well as eight hours

over the summer. All service hours must be completed through NHS/NHS approved service projects.

Section 2. The Chapter shall undertake one or more fundraising projects per year in order to finance Chapter needs.

Section 3. Failure to participate in six or more quarterly group projects (three per academic quarter), as well as fundraising activities will result in the

following actions:

First offense: a written warning.

Subsequent offenses: recommendation for dismissal.

Section 4. Attendance at the Induction Ceremony each spring is mandatory. Unexcused absences from the induction ceremony will result in immediate

dismissal from NHS. Participation in NHS events for Kidz1st Fund ($50 donation) is mandatory for all members. Members who fail to comply are subject to

dismissal from NHS.

ARTICLE IX - AMENDMENTS

The Constitution and Bylaws may be amended by a majority vote of the Chapter at a regularly scheduled meeting, subject to the approval of the Faculty

Council and administration.

The above Bylaws were agreed upon by the general membership of the Riverview High School Chapter of National Honor Society and conferred by

the Chapter Adviser and Principal on February 7, 2019.

I understand and agree to abide the above bylaws governing membership in the Riverview High School

Chapter of National Honor Society.

______________________________________ _____________ ____________________________________

Member Printed Name Date Signature

Riverview High School Chapter of National Honor Society, in the County of Hillsborough, in the State of

Florida:

On this, the __________ day of _______________________. 20______, before me, a notary public, the

undersigned parent or guardian, personally appeared, known to me (or satisfactorily proven) to be the person

whose name is subscribed to the within instrument, and acknowledged that he/she executed the same for the

purposes therein contained.

I witness hereof, I hereunto set my hand and official seal.

__________________________________________________________________ Notary Public

I understand and agree to abide by the above bylaws governing my child’s membership in the Riverview High

School Chapter of National Honor Society.

_____________________________________ ________________ __________________________________ Parent or Guardian Name Date Signature

RIVERVIEW HIGH SCHOOL HONOR CODE

I am a member of the Riverview High School Community. I pledge to hold myself, my peers, and my

school to the highest standards of honesty, responsibility and integrity. I will not personally commit nor

knowingly allow anyone else at Riverview High School to commit academic dishonesty.

WHAT IS ACADEMIC DISHONESTY?

1. Giving your class work/homework of any kind to another student to be used or copied when not

specifically permitted by the instructor.

2. Copying graded homework assignments from another student or giving graded homework to

another student for them to copy.

3. Working together with another individual(s) on any assignment when not specifically permitted

by the instructor.

4. Attempting to look at another student’s papers/materials during an exam/test/quiz or any work

meant to be done alone.

5. Looking or attempting to look at your notes/materials/electronic devices (displayed in any

manner) or someone else’s notes, text, etc. during an examination/test/quiz, when not specifically

permitted by the instructor.

6. Giving someone answers to exam/test/quiz questions either when it is being given or after taking it.

7. Pressuring or coercing a student in any way to produce academic work of any type for you.

8. Attempting to get class participation credit or community service hours when you did not

participate. Community service hours will be represented accurately.

9. Misrepresenting: any act where there is intent to deceive a teacher for the academic advantage

of yourself or anyone else.

10. Plagiarism: The attempt to represent the work of another as the product of one’s own thought.

On my honor, I will uphold the Riverview High School Honor Code to the best of my ability.

______

Student Name Student Signature

______

Date Parent Signature

National Honor Society Social Media Contract

2019-2020

In the past, inappropriate use of social media by Riverview High School students participating in both

athletic, extra-curricular and co-curricular activities has resulted in the suspension from practices, games, teams,

clubs and events. In an effort to foster good moral character and to deter the need to enforce such discipline,

Riverview High School’s chapter of the National Honor Society will enforce the following guidelines as best

practices for the use of social media by any of the members of our organization. For the purposes of these

guidelines, social media means any form of electronic communication through which users create online

communities to share information, ideas, personal messages, and other content including, by way of

illustration and not limitation, social networking sites such as Twitter, Facebook, Instagram, Snap Chat,

Tumblr, iMessage, GroupMe, and Remind in addition to any other social media like sites.

Riverview High School respects the right of its students to use social media. However, it is important

that all of our students, specifically those directly representing our school, like NHS, understand the need to

exercise care in setting appropriate boundaries between their personal and public online behavior and to

understand that what may seem private in the digital world can often become public, even without the consent

or knowledge of the other person. National Honor Society students who use social media must remember that

any information posted reflects on the entire Riverview High School community and, as such, is subject to the

same behavioral standards set forth in the student hand-book. Please remember, that NHS is supposed to

represent the best of the best in all factors life, and we just want to make sure that our best is always what is

being presented.

BEST PRACTICES FOR SOCIAL MEDIA USE:

The guidelines are intended to provide a framework for Riverview High School National Honor Society

students to conduct themselves safely and responsibly in an online environment. As Riverview High School

students you should:

1. Be Aware that Privacy Settings are NOT foolproof: Students are highly encouraged to use privacy

settings on social media sites. However, students should be aware that privacy settings are not fool-

proof. Although social media sites provide their users with privacy improvement updates, the changes

occur frequently and can get complicated. Even if you diligently monitor your privacy settings, it’s best

to assume that anything you post may potentially be seen by your school, your parents, and strangers.

And don’t forget about those lovely things called screen-shots!

2. Avoid Posting Confidential Information: Be aware of the kind of information you are posting on

social media sites. Posting information such as your date of birth, address, phone number, class

schedule, social security number, bank account number, etc. is NOT recommended. Once such

information is posted, it become the property of the social media site.

3. Avoid Unprofessional Public Profiles: Any information you post on social media sites is considered

public information and may be viewed by members of the public. Be mindful of the image you create

for yourself online. Potential, current and future employers, as well as college admission

officers/recruiters may access the information you put on social media sites.

4. Avoid Posting Illegal Activities: Photos posted via social media become the property of the social

media site. You may delete the photo from your profile but the photo remains on the social media site’s

server. Internet search engines such as Google or Yahoo may still find that image long after you have

deleted it from your profile. In addition, even if your profile is set to private, a friend can always

download and save incriminating photos that third parties, such as the authorities, can use against you in

the future. Incriminating photos would include: photos or statements depicting violence; hazing;

bullying; sexual harassment; vandalism; stalking underage drinking; selling, possessing or using

controlled substances including marijuana; or any other inappropriate behaviors.

5. Avoid Bullying/Threats of Violence: While Riverview High School students have the right to free

speech, that right is NOT unlimited. Bullying is a serious problem and is not limited to student-to-

student interactions. Vicious treatment and hateful words often lead to violence, suicide, depression,

and discrimination. Riverview High School should avoid the following:

a. Derogatory language or remarks about teammates, coaches, students, teachers, faculty,

administrators, or representative of other schools

b. Demeaning statements about and/or threats to any third party

c. Creating serious danger to the safety of another person or making a credible threat of

serious physical or emotional injury to another person.

*Riverview High School students should be award that if their conduct is deemed inappropriate

such conduct may be subject to discipline, not only by school authorities, but also by law

enforcement.

6. Avoid Lying, Cheating, and Plagiarizing: This includes taking homework from another student,

copying work, passing your work on to another, and/or commit intellectual theft by misrepresenting

some else’s original idea as your own.

7. Stay clear of Profane or inappropriate language: slurs, cursing, bigotry, derogatory language of any

kind, or anything that does not represent RVHS well, will be subject to disciplinary action.

Again, all information posted on social media sites is considered public information. It may be viewed by

any third parties and used against you. It is best to assume that anything you post, may be seen by your

school, your parents, and your peers.

All NHS members subject to disciplinary actions if the above rules are broken and immediate removal from

Riverview High School National Honor Society.

Student and Parent Social Media and Behavior Contract

Both my parents and I have read the National Honor Society Bylaws, the application, and the social

media contract, and understand that if my behavior or academics fall below the expectations

provided, including my yearly evaluation, I will be removed from NHS Riverview Charter, and all

privileges that come with being an NHS member will be revoked.

Print Student Name:_______________________________________________________

Student Signature:_________________________________________________________

Contact number:__________________________________________________________

Parent/Guardian #1

Print Parent Name:_________________________________________________________

Parent Signature:___________________________________________________________

Contact number:____________________________________________________________

Parent/Guardian #2

Print Parent Name:_________________________________________________________

Parent Signature:___________________________________________________________

Contact number:____________________________________________________________

INFORMATION PACKET COMPLETION LIST

Use this checklist to make sure you have completed every component of this informational process. As

you check each requirement, initial the blank in front of the number.

___ 1. I have hand-written my responses in blue or black ink only.

____2. I have secured all required signatures and had my application notarized.

___ 3. I have not left any blank spaces on my information packet.

___ 4. I have listed all extra-curricular activities in which I have

participated while a student at RVHS.

___ 5. I have listed all leadership roles I have assumed while a student

at RVHS.

___ 6. My packet demonstrates community service/ volunteer involvement that has

been ongoing throughout my high school years, documented with

official letters/logs/signatures.

___ 9. I have proofread my responses, and I am certain that I have

given my best effort and have answered the questions asked. I

understand that if I want to be considered for National Honor

Society, I should be willing to take the time to proofread.

_____ 10. I, as well as a parent or guardian, have signed and dated this

completion checklist.

I/we understand that if any portion of this packet is incomplete or not completed according to the directions, my

candidacy will not be considered.

___________________________________________________________________ __________

Student Signature Date

___________________________________________________________________ __________

Parent Signature Date