National Honor Society

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iLEAD Exploration is excited to invite all learners who will be in 10-12th grade next year, have been enrolled with iLEAD a minimum of one full semester, and have a minimum of a 3.0 GPA to apply. Members are required to participate in virtual meetings once a month. They must complete five hours of an individual student project and five hours of school service project every semester. A number of volunteering options at school events are provided throughout the year. The deadline to apply is Friday May 19, 2023.

Please complete all the sections below. All the information will be used by the faculty council in the consideration of your candidacy. Completion of this form does not guarantee selection.

Learner Full Name *

Learner Email *

Learner Phone (If you don't have one just say unavailable) *

Learner Address *

Parent Email *

Grade level at start of next year *

10th

11th

12th

EF Name *

EF Email *

Leadership Positions

What does service mean to you? *

List any elected or appointed leadership positions you have held in school, community, or work activities in high school. Only those positions in which you were responsible for directing or motivating others should be included. Examples: elected officer for the student body, class, or club; committee chairperson; team captain; newspaper editor; work area manager; or other community leader. Please include the adult responsible for supervising your leadership in each position and their contact information (email or phone number). *

Service Activities

List any other school-based activities (not noted above) in which you have participated in school by grade level. Include clubs, teams, musical groups, and any significant accomplishments in each. *

Other Community Activities

List any other community activities in which you have participated and note any major accomplishment by grade level. *

Work Experience, Recognition, and Awards

Though not a specific criterion for membership, please list below any job experience, honors, or recognition you have received that support your candidacy for membership in the Honor Society. Work experience may be paid or volunteer. Please include a description and the number of hours. *

Reference Name (may not be a family member or your EF) *

Reference Phone Number and Email *

By typing my name as my signature I agree to the following statement: I understand that completing this form does not guarantee selection to the 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.

Required

Learner Signature *

By typing my name as my signature I agree to the following statement: I have read the information provided by my son/daughter on this form and can verify that it is true, accurate, and complete.

Required

Parent Signature *

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