Thomas Edison and National Honor Society

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Character, Scholarship, Leadership, Service
Thomas A. Edison High School

Faculty Advisors
Ms. Meinholdt
Ms. Baumert

Congratulations on pursuing membership in Edison High School’s National Honor Society chapter.

Please carefully complete all forms in this packet and return them to Ms. Meinholdt (room A215) or Ms. Cho (room A218) on or before 2:30 p.m. on Wednesday, Oct 10, 2012. No exceptions!

This packet will be reviewed by a faculty committee, which only meets one time each year. If you do not meet the deadline, your packet can not be reviewed.

An evening Induction Ceremony is being planned for Wednesday, Nov. 7, 2012.

Complete all the information on the following forms; you can advance to the next field in the form using the tab key or left/right arrow keys.

Prospective Member Information

Name: Karim Gharbi

Grade Level : 11 12

Address: 6014 Crocus Ct.
Prospective Member Packet Checklist

Personal Information
(page 1)

Class Schedule
(page 2)

Co-currical Activities
(page 2)

Community Activites
(page 3)

Work Experience, Recognitions, Awards
(page 3)

Personal Essay
(page 5)

Individual Service Form
(page 6)

Apartment #      

City: AlexandriaState: VA Zip code: 22310

Your email: karimgharbi627@gmail.com

Home Telephone Number: (703)822-0284

Parent/Guardian Name(s): Samar Najia and Frank Silvestrini

Telephone Number(s) – Home: (703)822-0284

Telephone Number(s) – Work: 202-496-8772 and 1703-341-7159

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Current Class Schedule
(please type the information in the shaded areas)

First Semester |
| Day 1 | Day 2 |
Block 1 | IB French I | Room D217 | IB Psychology SL | Room B153 | Block 2 | IB English Lit I | Room C125 | IB HOA | Room C107 | Block 3 | Biology Sr Sci Inv | Room A218 | IB Environ Sys SL | Room A218 | Block 4 | Tutorial Learning | Room C215 | IB Math SL II | Room C117 |

Second Semester |
| Day 1 | Day 2 |
Block 1 | IB French I | Room D217 | IB Psychology SL | Room B153 | Block 2 | IB English Lit I | Room C125 | IB HOA | Room C107 | Block 3 | Biology Sr Sci Inv | Room A218 | IB Environ Sys SL | Room A218 | Block 4 | IB Theory of Knowledge | Room C108 | IB Math SL II | Room C117 |

Co-Curricular Activities

List all activities in which you have participated during high school. Include clubs, teams, musical groups, etc…, and major accomplishments or leadership positions in each.

Year | Activity | Accomplishment/Leadership |
2010-2012 | Member of Key Club | Completed 40 hours of community service through club activities | 2012 | Member of Young Democrats | Helped campaign for Democratic Officials | 2010-2012 | Member of Outdoor Track and Field Team | Member of All-District and Region 4x800m Relay and All-District 1600m runner | 2011 | Member of Indoor Track and Filed | Member of All-District, Region and State 4x800m Relay | 2011-2012 | Member of Cross Country | Member of All-District Team |       |       |       |       |       |       |

Community Activities
List activities in which you have participated while in high school and note any major accomplishments or leadership positions for each. These should be activities outside of school. Include church or religious organizations, Boy or Girl Scouts, volunteer groups, community art endeavors or such.

Year | Activity | Accomplishment/Leadership |
2010-12 | Volunteer work for ITVS (International Television Service) | Experience working with people, with film directors and film equipment      | 2011-2012 | Volunteer work at several different road races (handing out water to runners, setting up start/finish lines,...
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