Carolyn M. Small Honors Program Application

Please complete each of the following sections. For acceptance into the program, the application is due prior to the 4th week of classes. 

Part I: General Information
Year of High School Graduation:
Permanent Address:
  City: State:Zip:
Phone: Cell:
  If an education major was selected above,
choose a teaching field or a licensure.

Part II: Eligibility
High school or college GPA, if you have completed at least one semester of college work:
Cumulative GPA:

Part III: Community and Campus Activities
List the following information related to your high school or college career:
Community Activities:
Campus Activities:
Leadership Roles: