Date: 14 March 2014

From: National Honor Society (NHS)

Antigo High School Chapter
To: Parents/Guardians of AHS/NHS Candidates

This packet of material is for your 11
th
grade student, who because of his/her cumulative high school
grade-point average has qualified to be a candidate for the Antigo High School Chapter of National
Honor Society. To become a member of NHS, he/she must complete an application process. The
enclosed materials are needed for that process.
The material was addressed to you so that you are aware of the important chance your student has
earned to try to become a member of the local chapter of NHS by completing the application procedure
and materials in this packet by the deadline:

Please read through the enclosed material and discuss it with your student. If your student wishes to
begin the application process, you must fill out and return the slip below to the Chapter Advisor within
one week. If no slip is received, we will assume you and your student to not wish to apply. This
opportunity cannot be offered a second time.
Thank you for your prompt attention to this matter, and congratulations on having an excellent student
in your household.
_____________________________________________________________________________________

I wish to apply for NHS membership: yes no
Please print:
Student name: _______________________________________________ date:________________
____________________________________ _____________________________________
Student Signature Parent/Guardian Signature

Return to: Aimee Hein,
AHS/NHS Chapter Advisor
1900 10
th
Ave.
Antigo, WI 54409
Congratulations on your eligibility to become a candidate for the Antigo High School Chapter of the National Honor
Society, (NHS). You have qualified to become a candidate because your cumulative high school grade-point
average is an A (3.75) or better. You are, however, only a candidate at this point; to become a member and be
inducted into NHS, you must successfully complete the application process explained below.
The NHS is a very prestigious organization of high school students who are academic and civic leaders at their
schools in the United States. It is more than just an honor roll. It is a character distinction above and beyond pure
academic achievement, and is nationally recognized by colleges and universities when considering applicants for
admissions and scholarships. NHS membership would be a true distinction on your resume.
Being in NHS is a privilege and not a right. It is, of course, also completely optional, and you are not required to
apply for membership. You will, however, only be offered this opportunity once in your career at this high school.
This is your chance now. You must complete this procedure successfully to become a member of NHS:
1. Begin checking the AHS daily announcements for any NHS meetings scheduled for candidates.
2. Submit three completed Extra-Curricular Verification Forms. You must have been in these activities during
your high school years. Examples are sports teams, school clubs and organizations, 4-H groups, and other
kinds of officially sponsored organizations. Read the forms completely before you give it to the person
who will fill it out. Two of the three organizations must be official Antigo High School organizations. Talk
to the NHS Advisor if you have questions about what might qualify.
3. Submit proof of at least ten hours of voluntary community service using the Community Service
Verification Form. This service must have been performed during your high school years, and must have
been voluntary, not paid, and not required for any academic credit. It may include service done for
organizations to which you belong. Examples are helping the poor, aged, disabled, or unfortunate or
helping with a project for you church, school, or community. It may not include helping relatives. Check
with the NHS advisor if you have any questions.
4. Pass a character test: your name will be submitted to the entire Antigo High School staff for review; any
staff member having a serious concern about your admission into NHS on academic or disciplinary
grounds may request that you be removed from the list of candidates, as long as he/she gives an exact
reason to the advisor; upon review of this concern the Faculty Advisory Committee that helps screen
applicants may recommend that you be removed from the list of candidates and not allowed membership
in NHS. You will be notified privately if you are removed from the list and may know the reason for your
removal upon your request.
5. Make sure all Verification Forms are turned in to the Advisor or the Antigo High School office by the
deadline of:
Friday, March 21, 2014


Any late materials will not be considered, and your candidacy will not be successful.

Please talk to Ms. Aimee Hein, NHS Chapter Advisor, in room 223 at AHS, if you have any questions about NHS or
concerns and details of the application procedure. You may also email her at ahein@antigo.k12.wi.us
National Honor Society Extra-Curricular Verification Form
Antigo High School Chapter To be filled out by coach/advisor/supervisor
Return to:
Aimee Hein Return by: _______________________________________
AHS/NHS Chapter Advisor
1900 10
th
Ave.
Antigo, WI 54409 email: ahein@antigo.k12.wi.us

Student/participant: _________________________________________________________
Activity/sport/organization: ___________________________________________________
Name of Coach/Advisor/Supervisor: _____________________________________________
Years/grades in high school of participation (circle): 9 10 11 12
Participants involvement and performance (circle):
Exceptional very good average weak would not recommend

Advisor/coach/supervisor signature: ________________________________________________
Daytime telephone and/or email: _______________________________________________________
Additional comments, if any (you may also use the back of this paper):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
To the Advisor, Coach, or Adult in Charge:
The student participant named above is applying for admission into the Antigo Chapter of the National Honor
Society. To be admitted, among other criteria, the student must prove successful participation in at least three
school/community extra-curricular activities, clubs, or sports.
As the coach, advisor, or adult in charge of this activity, please fill out and sign this verification form for the
candidate named above. You may give it back directly to the candidate, or you may mail it to the NHS Chapter
Advisor at the address listed above. There is a firm and final deadline, which the applicant should have filled in. If
you wish, your reply will be kept confidential tot the advisor and the Faculty Advisory Committee that screens all
applicants. Because membership in NHS is an honor above and beyond the usual honor roll significance, please be
direct and honest in your assessment. Candidates are admitted to NHS on the basis of the four criteria listed
below, which you may also consider of mention. Thank you for your time and commitment.
Scholarship Leadership Service Character
National Honor Society Extra-Curricular Verification Form
Antigo High School Chapter To be filled out by coach/advisor/supervisor
Return to:
Aimee Hein Return by: _______________________________________
AHS/NHS Chapter Advisor
1900 10
th
Ave.
Antigo, WI 54409 email: ahein@antigo.k12.wi.us

Student/participant: _________________________________________________________
Activity/sport/organization: ___________________________________________________
Name of Coach/Advisor/Supervisor: _____________________________________________
Years/grades in high school of participation (circle): 9 10 11 12
Participants involvement and performance (circle):
Exceptional very good average weak would not recommend

Advisor/coach/supervisor signature: ________________________________________________
Daytime telephone and/or email: _______________________________________________________
Additional comments, if any (you may also use the back of this paper):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
To the Advisor, Coach, or Adult in Charge:
The student participant named above is applying for admission into the Antigo Chapter of the National Honor
Society. To be admitted, among other criteria, the student must prove successful participation in at least three
school/community extra-curricular activities, clubs, or sports.
As the coach, advisor, or adult in charge of this activity, please fill out and sign this verification form for the
candidate named above. You may give it back directly to the candidate, or you may mail it to the NHS Chapter
Advisor at the address listed above. There is a firm and final deadline, which the applicant should have filled in. If
you wish, your reply will be kept confidential tot the advisor and the Faculty Advisory Committee that screens all
applicants. Because membership in NHS is an honor above and beyond the usual honor roll significance, please be
direct and honest in your assessment. Candidates are admitted to NHS on the basis of the four criteria listed
below, which you may also consider of mention. Thank you for your time and commitment.
Scholarship Leadership Service Character
National Honor Society Extra-Curricular Verification Form
Antigo High School Chapter To be filled out by coach/advisor/supervisor
Return to:
Aimee Hein Return by: _______________________________________
AHS/NHS Chapter Advisor
1900 10
th
Ave.
Antigo, WI 54409 email: ahein@antigo.k12.wi.us

Student/participant: _________________________________________________________
Activity/sport/organization: ___________________________________________________
Name of Coach/Advisor/Supervisor: _____________________________________________
Years/grades in high school of participation (circle): 9 10 11 12
Participants involvement and performance (circle):
Exceptional very good average weak would not recommend

Advisor/coach/supervisor signature: ________________________________________________
Daytime telephone and/or email: _______________________________________________________
Additional comments, if any (you may also use the back of this paper):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
To the Advisor, Coach, or Adult in Charge:
The student participant named above is applying for admission into the Antigo Chapter of the National Honor
Society. To be admitted, among other criteria, the student must prove successful participation in at least three
school/community extra-curricular activities, clubs, or sports.
As the coach, advisor, or adult in charge of this activity, please fill out and sign this verification form for the
candidate named above. You may give it back directly to the candidate, or you may mail it to the NHS Chapter
Advisor at the address listed above. There is a firm and final deadline, which the applicant should have filled in. If
you wish, your reply will be kept confidential tot the advisor and the Faculty Advisory Committee that screens all
applicants. Because membership in NHS is an honor above and beyond the usual honor roll significance, please be
direct and honest in your assessment. Candidates are admitted to NHS on the basis of the four criteria listed
below, which you may also consider of mention. Thank you for your time and commitment.
Scholarship Leadership Service Character
THIS FORM MAY BE PHOTO-COPIED FOR DISTRIBUTION TO SEVERAL SUPERVISORS, BUT THE CANDIDATE MUST RETURN ALL
FORMS TOGETHER UNLESS MAILED IN CONFIDENTIALLY BY THE SUPERVISOR AS EXPLAINED BELOW.
National Honor Society Extra-Curricular Verification Form
Antigo High School Chapter To be filled out by coach/advisor/supervisor
Return to:
Aimee Hein Return by: _______________________________________
AHS/NHS Chapter Advisor
1900 10
th
Ave.
Antigo, WI 54409 email: ahein@antigo.k12.wi.us

Student/participant: _________________________________________________________
To the Advisor, Coach, or Adult in Charge:
The student/candidate named above is applying for admission into the Antigo Chapter of the National Honor Society. To be
admitted, among other criteria, the student must prove successful completion of at least ten hours of voluntary community
service activity that was not compensated in any way or required for any academic credit. The ten hours can be the sum of
several service events, but must have been performed during the candidates high school years.
As the coach, advisor, or adult in charge of this activity, please fill out and sign this verification form for the candidate named
above. You may give it back directly to the candidate, or you may mail it to the NHS Chapter Advisor at the address listed above.
There is a firm and final deadline, which the applicant should have filled in. If you wish, your reply will be kept confidential tot
the advisor and the Faculty Advisory Committee that screens all applicants. Because membership in NHS is an honor above and
beyond the usual honor roll significance, please be direct and honest in your assessment. Candidates are admitted to NHS on
the basis of the four criteria listed below, which you may also consider of mention. Thank you for your time and commitment.
Scholarship Leadership Service Character


Service Event or activity: date: total hours:
_________________________________________________________ ____/____/____ _________
Supervisors title or position: Signature:
________________________________________________ ________________________________________
Service Event or activity: date: total hours:
_________________________________________________________ ____/____/____ _________
Supervisors title or position: Signature:
________________________________________________ ________________________________________
Service Event or activity: date: total hours:
_________________________________________________________ ____/____/____ _________
Supervisors title or position: Signature:
________________________________________________ ________________________________________