Ncshs student application form

1. Application for ZETA OMICRON
A National Computer Science Honor Society
For Those NOT Currently in the Society
Please Print
FULL NAME: _____________________________________________________________________
YEAR OF GRADUATION: _________________
Students will fill out the two left columns for ALL Computer Science courses you have taken in high school up through and
including those you are currently taking. Please list in the order they were taken. In the second column, indicate the
grade the course was taken, 9th-12th
grade. Take this form to each teacher to complete the two right columns. In the
event a teacher has left the school, the department head may sign.
Students Complete Teachers Complete
All High School Computer Science Courses
You Have Taken or Are Taking
Year Taken Teachers Indicate Letter
Grade Achieved for the Year
Teachers Sign to Verify the
Student has an Unadjusted
Average of 90% or above in
Each Computer Science
Course
Student Check List - Eligibility Criteria for Admission: Complete after completing the form
above. The answer to each question must be “Yes”
Circle One
1) I have obtained an unadjusted average of 90% in each course in the Computer Science
curriculum. A minimum of three semester courses is required, or one semester course and
current enrollment in an advanced studies course.
Yes No
2) I have obtained an unadjusted average of 85% in all courses at (School Name).
Yes No
3) If not a senior, I intend to provide at least 15 hours of community service per year in
Computer Science to other (School Name) students, or students or teachers in another
school.
Yes No
4) I intend to complete one advanced studies course in Computer Science and maintain an
unadjusted average of 90% before graduation (APCS Principles, APCS A, or Data Structures
and Algorithms, or Advanced Topics).
Yes No
5) I intend to take at least 1 semester course in computer science each year at (School Name)
or participate in Robotics Club for at least 2 years. Yes No
Signature______________________________________________________ Date ______________________________
Form Due by October 26 at 2:45 pm