MCBRIDE HONORS PROGRAM APPLICATION
Submit application to: mcbride@mines.edu
For questions, contact Sarah Hitt, Associate Director (sjhitt@mines.edu)
Contact Information
First
Name
Last
Name
Preferred First Name to Be Used:
Permanent Address:
Middle
Initial
Male
Female
Complete Local Address (including dormitory name):
Local Telephone
Number
CSM Email Address:
Major
Campus Wide ID (CWID):
Application Materials Checklist
____ This Application Form (including writing sample & photograph)
____ Faculty/High School Teacher Recommendation form (on McBride website)
____ Unofficial CSM transcript (if current CSM student; attach PDF)
____ Unofficial college transcript (required only if you have attended a college other than CSM)
____ High school transcript (if you are a high school student)
I hereby waive any right to access the letter of recommendation submitted on my behalf. Yes
Un-weighted High School
GPA/ Cumulative:
SAT
SCORES
ACT
SCORES
Academic History (answer all that apply)
CSM Cumulative GPA:
Other College Name & Cumulative GPA:
Math:
Composite:
English:
Critical Reading/Verbal:
English/Writing:
Math:
AP SCORES: List all advanced placement test scores here (e.g. U.S. History, 4):
Writing/Essay:
Reading:
Science:
Experiences, Interests, and Achievements
This is a chance for us to get to know you. There are no “right” or “expected” answers.
You may not be able to answer them all; please just answer those that apply.
NHV: Have you completed Nature & Human Values (NHV)? If so, what grade did you receive and what was the
topic of your major research paper? If you are currently enrolled, who is your instructor?
Scholarships/awards (list 5 max): Have you received any scholarships or awards? If so, please list them below,
noting in parentheses whether you received them in high school or college. List no more than five, selecting the
most important.
Foreign languages: List any foreign languages you have studied/learned and note in parentheses the level of
fluency (beginning or 2 years study, advanced, fluent):
International travel (150 words max): If you have traveled or lived internationally, what countries have you
traveled to and for how long? What experience abroad most affected you and why? If you have not traveled
abroad, would you like to? If so, where, and what would you hope to get out of it?
Service/volunteering (max 150 words): If you have engaged in any service learning or volunteer activities, either
at Mines or previously, which had the greatest impact and why?
Extracurricular activities (max 150 words) If you have been involved in any extracurricular activities, either at
Mines or previously, which was most meaningful to you, and why?
Books (max 150 words): What is your favorite book and why?
McBride (max 200 words): What do you think McBride will offer you; what can you offer the McBride program?
What is your biggest concern, worry, or reservation when you think about joining the McBride program?
Optional (150 words max): Is there anything related to your past or current academic performance that you would
like to explain (optional)?
Photograph
Please send a photograph with your application that says something about you as a person. Please make sure your
face is fully visible, as this will also help jog our memories during and after the interview process.
Writing Sample
Submit an exemplary piece of writing on any topic, or write an essay on the optional topic below. Either must be
approximately 500 words. If you are pasting an excerpt from a longer piece of writing, select a representative extract
that is 500 words, but add 1-2 sentences as a preface that explains what the writing sample is from or why it was
written.
Optional essay topic: Submit page 147 of your autobiography.
Paste writing sample below (500 words max):