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National Technical Honor Society Application
TN Promise and Other Scholarships/Grants Are Available!
First Name
*
Students nominated by their Instructors who wish to join NTHS will complete this form and submit membership dues to Randy Young in Technology Foundations.
Middle Name
Last Name
*
Suffix
None
JR
SR
I
II
III
IV
V
Gender
*
Male
Female
Graduation Trimester
*
Spring
Summer
Fall
Select trimester in which you will complete your program.
Graduation Year
*
Current Class Average
*
100
99
97-98
95-96
Enrollment
*
Full-Time
Part-Time
Street Address
*
Zipcode
*
City
*
Country
*
United States
Other
State
*
Tennessee
Other
Email Address
*
Employment
*
Yes
No
Memberships
BPA
DECA
DEX
FBLA
FCCLA
FFA
HOSA
PBL
SkillsUSA
TSA
Beta Club
NGS
PTK
Select the above organizations that you have been or currently are a member.
Phone Number
*
Program Attending
*
Administrative Office Technology
Automotive Technology
Computer Information Technology
Cosmetology
Drawing & CAD Technology
Digital Graphics Design Technology
Electro-Mechanical Technology
Electronics Technology
Industrial Maintenance Technology
Machine Tool Technology
Practical Nursing
Surgical Technology
Welding Technology
Instructor's Last Name:
*
Electronic Signature
*
Agree
Disagree
STANDARDS OF CONDUCT & MEMBERSHIP AUTHORIZATION By completing this form I certify that I have met all membership eligibility requirements. I have made a personal commitment to workforce excellence and pledge to uphold the following NTHS Standards of Conduct: Maintain the highest standard of personal and professional conduct at all times; Strive for excellence in all aspects of my education and employment; Refuse to engage in or condone activities for personal gain at the expense of my fellow students, my school, or my employer; Support the purposes of NTHS while working to achieve the objectives and goals of the Society; and Uphold my obligations as a citizen of my community and my country.
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