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. Members will only be accepted into the program following one semester of probationary membership.


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

Part II: Academic Information
Pertaining to your high school career or post-secondary career, please designate:
Cumulative GPA:
Semester GPA:
Awards Received:
Honors Received:
Honors Optional Courses Taken and Grades Received:

For continued participation in the Honors Program, we encourage one Honors course per semester and require one Honors course per year. The Honors course form should be completed and submitted to the director before the 4th week of the semester. Honors Option Course Form

Part III: Community and Campus Activities
Pertaining to your high school career or post-secondary career, please designate:
Community Memberships:
Campus Memberships:
Other:


 
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