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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

II. Cocurricular Activities

Year

           

9

10

11

12

Fellowship of Christian Athletes

x

x

x

 

Attended meetings, 2000 ski trip, 2001-2002 concession stand

   

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

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

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