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NEHS Application For Membership

This document is an application for membership to an honor society. It requests applicant information such as name, address, phone number, email, as well as school information like date enrolled, expected graduation date, GPA, honors classes taken, extracurricular activities, and English class information. The applicant provides a writing sample and signature to verify the truth and accuracy of the information provided. The application is then reviewed by a Faculty Advisory Council who decides whether to accept or deny the application.

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nick_ramos9177
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© Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online on Scribd
212 views

NEHS Application For Membership

This document is an application for membership to an honor society. It requests applicant information such as name, address, phone number, email, as well as school information like date enrolled, expected graduation date, GPA, honors classes taken, extracurricular activities, and English class information. The applicant provides a writing sample and signature to verify the truth and accuracy of the information provided. The application is then reviewed by a Faculty Advisory Council who decides whether to accept or deny the application.

Uploaded by

nick_ramos9177
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Application for Membership

Applicant Information
________________________________ __________
Name Date

______________________________________________
Address

______________________________________________
City, State, Zip Code

____________ ___________ _________________


Telephone Cell Phone Email

School Information
___________ ___________ _________________
Date Enrolled Expected Graduation Cumulative GPA (weighted / unweighted)

______________________________________________
High School Honors Classes Taken
__________________________________________________________
______________________________________
Dual Credit or Advanced Placement Classes Taken

______________________________________________

Extra-curricular Activities
______________________________________________
Membership in Other Honor Societies
__________________________________________________________
______________________________________________
Membership in Service Clubs
__________________________________________________________
______________________________________________
Membership in Sports Teams
__________________________________________________________
English Classes
__________________________
Cumulative High School English GPA (weighted / unweighted)
__________________________________________________________
English Classes Taken (indicate level AND grade earned)
__________________________________________________________

__________________________________________________________

__________________________________________________________
English-related Classes Taken AND Grade Earned (i.e. Drama, Film, TV Production, or Journalism )
__________________________________________________________
__________________________________________________________
__________________________________________________________
English-related Activities (i.e. articles or poems published in school and non-school publications, speeches given to
the student body, or related activities)
__________________________________________________________
__________________________________________________________

Miscellaneous

Have you ever been referred to a principal or assistant principal for serious misconduct or academic dishonesty?
Yes ______ No ______ If yes, please explain. ________________________________
__________________________________________________________
Writing sample (optional): The applicant is invited to attach an optional piece of writing. It may be an essay, a
short-story, poem, speech, song, dramatic scene, or some other genre. When appropriate, a video tape may be used.
The purpose is to give the applicant an opportunity to illustrate skill and mastery in the English language.

Statement: To the best of my knowledge, the above information is true and correct. False or misleading
information will result in cancelled membership.

Applicant Signature ___________________________________________________________________________

Applicant: Do not write in shaded area

Faculty Advisory Council:


Applicant’s credentials verified _____________ (date)

Application reviewed _______________ (date)

Action taken: _____Accepted _____ Denied

Faculty Advisory Council member initials: __________

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