First Name:
Last Name:
Student Number:
Email:
Address:
Counseler Name:
Counseler Email:

Activity List

Activity Name:
Title:
Supervisor:
Supervisor Email:
Activity Description:
Category:
Hours:

References

Name:
Email:
Name:
Email:
Name:
Email:

Essay



Affirmation:I understand that completing and submitting this application does not guarantee selection to the National 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. By checking this box and typing my name below, I am electronically signing my application.