Dear Prospective Member, First, let me offer my congratulations on your selection to the National Society of High School Scholars.

We are happy to recognize all of your hard work. At NSHSS we are very proud of the fact that the membership fee is not a barrier to any qualified students membership in the Society. Toward that end we offer full and partial fee waivers to candidates for membership that have significant financial hardship. What we ask is that fee waiver requests be carefully considered so that this service can continue to be available to all prospective members that need it. I hope that the forms packet contains everything that you need for your request. If you have any questions about applying for a fee waiver, please feel free to e-mail feewaiver@nshss.org. All other questions should be sent to information@nshss.org. These e-mail addresses are checked by all of the Member Services staff in order to more quickly answer your questions. Sincerely, Gloria Smith Director of Member Services

20120618 3002E

Full Fee Waiver Checklist

Postmark by original deadline on membership confirmation card Completed Confirmation Card Members must be a student in high school and must meet ANY ONE of the criteria: 1750 SAT score or higher 200 PSAT score or higher 26 ACT score or higher Score 4 or higher on any AP exam Score 5 or higher on any IB exam 3.5 Cumulative GPA (4.0 Scale) or higher (or equivalent GPA) top 10% rank in class Please verify your eligibility by placing one of the criteria above in the GPA field of the confirmation card.

Completed Full Fee Waiver Request Form Detailed letter from parent or guardian expressing request and need Educator Verification of Necessity Form or income documents (Educator Verification of Necessity Form must be completed and signed by an educator at your high school and income documents can be FEMA documentation or your familys head of household state or federal income tax forms with SSN information blacked out) Write Full Fee Waiver on the outside of the envelope Return all to the International Headquarters NSHSS International Headquarters 1936 North Druid Hills Road Atlanta, GA 30319

You do not need to return this checklist to the Society. This is for your use only.

20120618 3002E

Full Fee Waiver Request Form

Student Information First Name: ______________________________ Last Name: ______________________________ Confirmation Code: Submit the following documents postmarked by or on your original deadline on membership confirmation card: NSHSS Full Fee Waiver Request Form (this form) Confirmation Card Filled out completely & accurately Members must be a student in high school and must meet ANY ONE of the criteria: 1750 SAT score or higher 200 PSAT score or higher 26 ACT score or higher Score 4 or higher on any AP exam Score 5 or higher on any IB exam 3.5 Cumulative GPA (4.0 Scale) or higher (or equivalent GPA) top 10% rank in class Please verify your eligibility by placing one of the criteria above in the GPA field of the confirmation card. Educator Verification of Necessity Form or income documents

(Educator Verification of Necessity Form must be completed and signed by an educator at your high school and income documents can be FEMA documentation or your familys head of household state or federal income tax forms with SSN information blacked out)
*When returning these items, please write full fee waiver request on the outside of the envelope. Student Signature: __________________________________________ Date: _________________ IMPORTANT NOTE: In order to receive a full fee waiver all documents must be submitted together in a single envelope and received at NSHSS headquarters postmarked by the deadline date. We cannot track items submitted separately, so the package will be incomplete. Please review your submission carefully before mailing.

20120618 3002E

Educator Verification of Necessity Form

Student Information (to be completed by the student) First Name: ______________________________ Last Name: ______________________________ Confirmation Code: _______________________________________ Members must be a student in high school and must meet ANY ONE of the criteria: 1750 SAT score or higher 200 PSAT score or higher 26 ACT score or higher Score 4 or higher on any AP exam Score 5 or higher on any IB exam 3.5 Cumulative GPA (4.0 Scale) or higher (or equivalent GPA) top 10% rank in class Please verify your eligibility by placing one of the criteria above in the GPA field of the confirmation card. Student Signature: __________________________________________ Date: _________________

Educator Information (all fields must be completed and signed by an educator at your high school) First Name: ______________________________ Last Name: ______________________________ School Name: ______________________________ Title: ___________________________________ Address: ___________________________________________________________________________ Address 2: _________________________________________________________________________ City: ___________________________________________ State: _________ Zip: ________________ Email: _______________________________ Phone: (_________) ____________________________ I certify that that the student meets the criteria for membership in NSHSS and is in need of a full fee waiver. The above information is true and correct according to my knowledge. Educator Signature: __________________________________________ Date: _________________ IMPORTANT NOTE: In order to receive a full fee waiver all documents must be submitted together in a single envelope and received at NSHSS headquarters postmarked by the deadline date. We cannot track items submitted separately, so the package will be incomplete. Please review your submission carefully before mailing.

20120618 3002E