KUHONORS Kutztown University of Pennsylvania Honors Program APPLICATION The Honors Program at Kutztown University is a tight-knit community, and requires drive and leadership potential. We seek applicants with sufficient motivation to succeed. You will be expected to take challenging courses, work directly with faculty, take leadership roles, and ultimately deliver a professional-level capstone project. Documents to be submitted along with this application are a letter of recommendation and a 500 word essay on your academic goals and/or leadership goals. Personal Information Last Name: ____________________________ First Name: _________________________ M.I.: ______ Address: ________________________________________________ City: ________________________ State: _______ Zip: ______________ KU Email Address: ___________________________________ Home Phone: (______) _________-__________ Cell: (_____) ___________-___________________ Planned Major (if declared): _____________________ Planned Minor (if any): ___________________ Expected Date of Graduation: ________________ Gender: Male / Female Term of Entry & Year: Fall / Spring __________ Birthdate: _____/_____/_____ KU ID# ___________________ Academic Information H.S. or College (if applicable) GPA: ____________ ACT: __________________________ SAT Verbal & Math: ______________ / ______________ If you are transferring from another university, a letter of recommendation and essay is required and a GPA of 3.25 must be achieved and maintained. List AP or Honors classes you have taken, and the grades you have earned, if applicable (limit to five) 1. _________________________________________________________________ / ____________ 2. ______________________________________________________________________ / _____________ 3. ______________________________________________________________________ / _____________ 4. ______________________________________________________________________ / _____________ 5. ______________________________________________________________________ / _____________ (Additional Instructions on reverse side) Kutztown University of Pennsylvania Honors Program To apply to the KU Honors Program, you must first be accepted as a student by Kutztown University of Pennsylvania By submitting this form, you verify you have already applied to and have been accepted For acceptance to the Honors Program you must return the completed application, essay and letter of recommendation together for a reply from the director in order to be considered 1. Honors Program Application 2. Essay Topic: My Academic Work, Leadership and Goals We request a narrative that shows how you have exercised leadership and boldness in your academic work. How did you go beyond the minimum required of you? Length: This essay should be at least 500 words and typed (about two pages, double-spaced). Define “Academic Work” broadly to include any efforts related to your school work or academic subjects and goals. 3. Letter of Recommendation Please ask a counselor, mentor, teacher or professor who knows you to write a recommendation letter attesting to your potential for academic work and academic leadership. Please have them include contact information in case we need to contact them. Please supply your teacher with a stamped, addressed envelope, as references are to be sent directly to us by them. If the person recommending you wishes to send an electronic recommendation letter IT MUST BE SIGNED electronically. All required documents should be received in our office before you will be considered for our program. Please be sure that you have done everything as outlined above. Please return all documents by mail or send electronically to honorsprogram@kutztown.edu. Kutztown University of Pennsylvania Honors Program Honors Hall 181 College Blvd. Kutztown, PA 19530 honorsprogram@kutztown.edu