1 National Honor Society
DIRECTIONS FOR FILLING OUT THE INFORMATION FORM
Please PRINT out the NHS application and complete all the sections. Do not be modest!!!
I. Administrative Information
Fill in your Name, your PICTURE, Grade and Section, and Class Schedule.
II. Co-curricular Activities
Part A: Clubs and Activities. List clubs and activities outside of sports. Check the years you participated, the names of advisers, and a description of your participation. (member, officer, responsibilities). Have the adviser for each activity initial the box provided. In addition, ask one activity advisor to complete the feedback form, seal in an envelope with signature on the flap and include this sealed feedback form with your application. (NOTE: The feedback form for all activities is available on the Brent web site under Upper School/About Upper School/NHS.)
Part B: Sports and Teams. List sports and/or teams you have been a part of. Check the years you participated, the role you played (position, leadership role – for example, captain, or responsibilities – for example, manager). Have the coach initial the box provided. In addition, ask one coach to
complete the feedback form, seal in an envelope with signature on the flap and include this sealed feedback form with your application.
Part C: Community Service and Work Experience. List all of the activities in which you have participated for the betterment of the community (Binan area or your home area) and note major accomplishments in each. Designate whether it was an organized “in-school” (for example, Habitat for Humanity) or “out of school” (for example, a church or other volunteer work) service or experience.
Work experience (paid or volunteer) would be responsibilities working in a business environment. In addition, ask one community service advisor to complete the feedback form, seal in an envelope with signature on the flap and include this sealed feedback form with your application.
III. Leadership, Recognition and Awards
List all elected or appointed leadership positions held in the school, community or work environment.
These would include positions in which you were responsible for directing or motivating others (for example, team captain or newspaper editor). Also list any honors, (it is not necessary to list honor roll from report cards – this has already been noted) awards or recognitions which support for bid
membership in N.H.S.
IV. Personal Reflection
Please include a written exposition in the space provided, explaining why you would like to be a member of the National Honor Society. If necessary, you may attach one extra sheet of paper to this form for your personal reflection.
Note: Other information may be requested if required.
RETURN THE COMPLETED APPLICATION TO THE UPPER SCHOOL OFFICE by 3pm, Friday, October 17, 2014.
CHAPTER OF THE NATIONAL HONOR SOCIETY Brent International School, Manila
Student Activity Information Form
Directions: Please complete all sections. Do not be modest. All of the information can be used by the faculty council to assist with the selection process. Completion of this form does not guarantee selection.
I. Administrative Information (Using Adobe Acrobat Reader fill in the form, print the form, attach your picture, and obtain the necessary signatures or initials.)
Name: ________________________________ Grade: __________
DAY 1 DAY 2
Class
Schedule Teacher Subject Room Teacher Subject Room
Block 1 Block 2 Block 3 Block 4
Name one teacher from last year that would recommend you: _________________________________
II. Personal Reflection: Please include a one-page written exposition explaining why the council should consider your candidacy and induction into the National Honor Society.
III. Co-curricular Activities
List all sport teams, clubs/activities, and community service / work experience in which you have participated during Upper School. There is a separate section for each area. Be sure to list and/or explain your major
accomplishments in each involvement.
For community service and work experience, list all community activities in which you have participated and note any major accomplishment in each. However, each activity needs to be designated as “in-school organized”
(yes) or “out of school organized” (no) in the appropriate column. “Outside of school activities” are activities you have participated in for the betterment of the community, but were not organized in-school. For example, church groups, volunteer groups, or community art endeavors. An example of an “in-school organized community activity” would be Gawad Kalinga. Work experience may be paid or volunteer.
Year
Sport Team 9 10 11 12 Coach’s Name
Coach’s
Initials Participation Explanation PICTURE Attach your picture here
Year
Club/Activity 9 10 11 12
Advisor’s Name
Advisor’s
Initials Participation Explanation
Year
Community Service 9 10 11 12
No. of hours / week
Adult Advisor’s Name & Signature
Participation Explanation
Organised by school (yes / no)
per week
per week
per week
per week
Year
Work Experience 9 10 11 12
No. of hours / week
Adult Advisor’s Name & Signature
Participation Explanation
Organised by school (yes / no)
per week
per week
per week
per week
III. Leadership, Recognition, and Awards
List all elected or appointed leadership positions held in the school, community, or work activities. Only those positions in which you were directly responsible for direction or motivation of others should be included. For example, team captain, newspaper editor, or community leader. Also list any honors, awards or recognitions which support your bid for
membership in the National Honor Society.
Year Leadership
Positions 9 10 11 12
Advisor’s Name
& Signature
Activity or
Organization Explanation
Year Recognition &
Awards 9 10 11 12
Advisor’s Name
& Signature
Activity or
Organization Explanation
