Each NHS member is required to complete
10 hrs. of personal
community service per semester. This is in addition to the
required service projects that the entire chapter sponsors.
The community service must be documented and turned in to the
Vice President or the chapter sponsor. To facilitate this, you may
print or download the following form, complete it, and turn it in.
South Effingham HighNational Honor Society
Service Community Form
I verify that ______________________________ committed
(name of NHS member)
__________________ hours of his/her time to
______________________________________________
(organization/individual)
on ______________________________.
(date)
Signature:____________________________ date:________________
VP verification:_____
20 |
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II. Cocurricular Activities |
Year |
||||||
9 |
10 |
11 |
12 |
||||
Fellowship of Christian Athletes |
x |
x |
x |
Attended meetings, 2000 ski trip, 2001-2002 concession stand |
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Soccer |
x |
x |
x |
2000 - started every game on Varsity team, scored 3 goals, honorable mention all-region team. 2001 - Varsity starter; injured back, became Junior-Assistant Coach for JV and Varsity teams 2002 - Varsity starter after recovering from ankle injury |
|||
Beta Club |
x |
x |
Achieved high GPA |
||||
Yearbook Staff |
x |
x |
2001 staff ; 2002 Editor |
||||
SEHS newspaper staff |
x |
Helped design masthead and arrange layouts |
|||||
FIFA Certified Referee |
x |
x |
x |
Refereed soccer games for Effingham County Recreation Department |
|||
FBLA |
x |
FBLA Region III Leadership Conference; Desktop Publishing competitor |
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III. Leadership Positions |
Year |
ACCOMPLISHMENTS |
|||||
9 |
10 |
11 |
12 |
||||
Activity Organizer |
x |
Fellowship of Christian Athletes |
|||||
Assistant Coach |
x |
x |
Helped coach high school JV team |
||||
Editor-SEHS yearbook |
x |
Designed, organized, compiled and edited yearbook. |
|||||
Patrol Leader |
x |
x |
Boy Scouts of America - trained Scouts, led hikes, organized overnight trips |
||||
Eagle Scout Projec (Boy Scouts) |
x |
Designed and leader of 30 volunteers to construct a half mile nature trail, 300 man-hours total |
|||||
Staff Member |
x |
Staff member for inaugural Boy Scout High Adventure Camping season, at Ossabow Island, GA |
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IV. Service Activities |
Year |
No.Hrs/week |
MAJOR ACCOMPLISHMENTS |
Adult Sponsor |
|||
9 |
10 |
11 |
12 |
||||
Church youth group |
x |
x |
3 |
Summer Camp-Daytona, WISH Retreat(service projects), assisted with Church Dinners, Fruit Baskets for senior citizens, singing Christmas carols to shut-ins, Rent-A-Kid service project |
Steve Peavey |
||
Assistant Soccer coach for a Junior team |
x |
Conducted practices and worked to imporve individual skills and use my knowledge of soccer to help the future players of the game. |
John Breckenridge |
||||
Boy Scouts of America-Troop 665 |
x |
x |
2 |
Philmont Scout Ranch-New Mexico, Eagle Scout, represented Scouts on Scout Sunday, Eagle Scout projects, Camp Bradley Bee, -led activities for Cub Scouts |
Ken Luikart |
||
Order of the Arrow |
x |
x |
x |
Completed Order of the Arrow ordeal to join Boy Scout Honorary Camper organization |
Ken Luikart |
||
FBLA Canned Food Drive |
x |
Martha Ross |
|||||
YMCA-United Way Volunteer |
x |
x |
Steve Peavey |
||||
V. Other Community Activities |
Year |
No. Hr/ Week |
MAJOR ACCOMPLISHMENTS |
Adult Sponsor |
|||
Soccer - Savannah Magic team |
x |
x |
5 |
Select soccer team (Classic I and II), tournaments in Georgia and South Carolina |
Cam Turner |
||
VI. Work Experience, Recognition and Awards |
Year |
Group or Activity/Number of Hours Spent on Job or Volunteer Activity |
|||||
9 |
10 |
11 |
12 |
||||
Honorable Mention All-Region Team |
x |
High School Varsity Soccer Team |
|||||
Who's Who Among H/S Students |
x |
x |
Who's Who Among High School Students |
||||
United States Achievement Academy-Math |
x |
United States Achievement Academy |
|||||
United States Achievement Academy-English |
x |
United States Achievement Academy |
|||||
United States Achievement Academy-Unknown |
x |
United States Achievement Academy |
|||||
Nominated for the National Young Leaders Conference |
x |
Nominated by Kate Richards |
|||||
Nominated for the National Youth Leadership Forum on Law |
x |
Nominated by Kate Richards |
|||||
Nominated for the National Student Leadership Conference |
x |
Nominated by Kate Richards |
|||||
Eagle Scout |
x |
Boy Scout Trrop 665, Rincon GA/60 hours |
|||||
National Honor Roll Member |
x |
Nominated by K. Thomas |
|||||
Day at State Capitol |
x |
NHS/Beta Club/12 hours |
|||||
Community Service |
|||||||
YMCA-United Way |
2 1/2 hours |
7/25/2001 |
|||||
YMCA-United Way |
1 hour |
7/2 |
7/27/2001 |
||||
Chopped down tree for neighbor who has cancer |
3 hours |
6/--/00 |
|||||
YMCA-United Way |
2 hours |
||||||
Bone Marrow Drive |
|||||||
FBLA/Beta Club Canned food |
30 minutes |
11/1/2001 |
|||||
FBLA/Beta Club Canned food |
30 minutes |
11/8/2001 |
|||||
FBLA/Beta Club Canned food |
1 hour |
11/9/2001 |
|||||
Boy Scout Donut sale |
2 hours |
11/10/2001 |
Leadership Position |
Year |
Activity or Organization |
|||
9 |
10 |
11 |
12 |
||
Leadership Position |
Year |
Activity or Organization |
|||
9 |
10 |
11 |
12 |
Community Activity |
Year |
No.Hrs/week |
Major Accomplishments |
Signature of Adult Sponsor |
|||
9 |
10 |
11 |
12 |