Name ____________________________________ Semester Submitted _______________
Major ________________________________________________ GPA _______________
List all Honors courses you have taken and the grade received (don’t forget to include introductory courses as well as colloquium):
DEPT # TITLE GRADE
List/describe any significant scholarships, academic awards, or honors that you have received for or during college.

Document your Civic Engagement over the course of your college career.
Title of
Project/
Organization
Role/Description of
Work Completed
Scope
(Campus?
Local?
State/Regional?
National?
International?)
Time Span of
Involvement
Appx.
Hours
Committed
The Honors Progr am’s vision is to “cultivate the next generation of solution-orientated, critical, and creative thinkers with the knowledge, skills, and commitment to have a positive impact on the world around them.” Write about a college experience that is helping you to become an engaged citizen-scholar, and consider your desired impact. (500-750 words)