Honors Program Applications
c/o Admissions, Losch Hall
Urbana University
579 College Way, Urbana, OH 43078
Phone: 937-484-1400
Fax: 937-652-6871
www.urbana.edu
Honors Program Application
Please fill out the following information as completely as possible and return via mail or fax to the
address above.
1. Personal Information
Last Name ________________________ First _________________________ Mi_________________
Permanent Address_____________________________________________________________________
City________________________ State________________________
Zip_______________________
Primary Phone _______________________ Best time for contact:  Morning  Afternoon  Evening
Email ______________________________________
2. Academic Profile
High School Attended___________________________________________________________________
Class Rank ______ of ______
GPA (unweighted) _________
ACT Composite ________
Major(s) I am considering _____________________________________________________________
List courses for which you have taken or will take the Advanced Placement exam:
____________________
____________________
____________________
____________________
____________________
____________________
Please attach a list of courses and credit hours earned through Post-Secondary Enrollment (PSEO) or
other programs. Include the name of the college or university and dates of attendance. You may attach
an unofficial transcript, but this is not required.
3. Letter(s) of Recommendation
 Letter(s) will arrive separately
Please use the attached form to submit a Letter of Recommendation from an instructor or other
education professional who has knowledge of your scholastic achievements and academic potential. You
may include additional letters if you wish, up to three; photocopy or print more forms for additional
letters. Please indicate above if your letter will arrive separately from your other application materials.
4. Personal Statement
Please attach a brief personal statement detailing your reasons for applying to the Honors program,
your previous educational experiences, your current and potential goals, and other information of
interest that you feel is connected to your desire to join Urbana University’s Honors program.
Statements should be 500-750 typed words.
Your Personal Statement is a major factor used to evaluate your application file; it is an opportunity for
our Honors faculty to get to know you through more than just numbers and transcripts. The information
you provide will allow us deeper insight into your intellectual curiosity, writing and expressive skills, and
readiness and fit for the Honors program. The Personal Statement gives you a chance to tell us about
yourself, who you are, and what the Honors program can do for you.
5. Interview and Writing Sample
As part of the admissions process, students will be invited to campus for an interview with Honors
faculty. Urbana University’s Admissions staff will set up this appointment with the applicants for one of
our Visitation Days. During the campus visit we will also ask for Honors program applicants to write a
short essay over a prompt we provide to serve as a writing sample for your Honors application. More
details and a tentative itinerary will be provided by Admissions during the scheduling of campus visits.
6. Acknowledgements and Signature
The signature below represents the acknowledgement that all information included in this application is
correct and accurate to the best of the applicant’s knowledge. Attached written works are the original
work of the applicant, and any attached letter(s) of recommendation have been handled in such a way
as to maintain confidentiality if requested by the recommender. Failure in any of these respects is
grounds for immediate rejection of this application.
Signature ________________________________________
Date _____________________
Letter of Recommendation Form
To the Applicant: Complete the top portion of this form and forward it on to your recommender. If
the recommender is returning the recommendation form to you in a sealed envelope, it is helpful to
provide a self-addressed, stamped envelope to that person. Be sure to include the unopened
envelope(s) with your application material. If the recommender is sending the letter directly to Urbana
University, provide a stamped envelope addressed to:
Honors Program Applications
c/o Admissions, Losch Hall
579 College Way, Urbana, OH 43078
Applicant Name
Last ________________________ First_______________________________
Recommender_____________________________________________________________________
The Family Educational Rights and Privacy Act of 1974 and its amendments guarantee students access to
educational records concerning them. Students are permitted to waive their right of access to
recommendations. The following statement indicates the wish of the applicant regarding this
recommendation.
Confidentiality statement: I __ waive __ do not waive my right to inspect the contents of this
recommendation.
(By waiving your right, you will not be allowed to inspect the contents of the letter.)
Applicant’s signature____________________________________
Date_________________________
_____________________________________________________________________________________
To the Recommender: We would appreciate your opinion of this applicant’s potential for success in
Urbana University’s Honors program. Please attach a brief letter of recommendation addressing: how
long and in what capacity you have known the applicant; the applicant’s academic ability and aptitude
for advanced undergraduate study; and any other information you feel we should know about this
applicant. If the applicant has waived the right to inspect this letter’s contents, please place the letter in
an envelope, seal it, and sign across the seal to help ensure confidentiality of your comments. Please
note that we pay careful attention to your recommendation and are grateful for your assistance.
Recommender’s signature________________________________
Date_________________________
Position_____________________________ Institutional Affiliation______________________________
Address______________________________________________________________________________
Phone_______________________
E-mail_____________________________________
Presidential Scholars Program
2014-2015
Cherie Moore, Advisor
cmoore@urbana.edu
937-869-1490
The Urbana University Presidential Scholars Program recognizes and challenges students who
have the ability to excel at the highest level. Appointment as a Presidential Scholar is a highly
coveted honor and the most prestigious academic and service recognition at Urbana
University.
Mission:
Inspire, educate, and develop values based student leaders who are dedicated to academic
excellence, personal integrity, and selfless service to Urbana University.
Expectations for Sustained Excellence:
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Maintain a cumulative grade point average ≥ 3.5
Participate in the Urbana University William G. Edwards Honors Program of study
Dedicate ≥ 20 hours per semester to the designated Scholars Project(s).
Perform Presidential Scholars Service as needed.
Maintain dedication to Urbana University by exhibiting exemplary behavior, high
energy, and a contagious positive attitude.
Presidential Scholars receive FULL tuition
_____ Yes, I am interested
_____ No, I am not interested
If you have any questions regarding the Presidential Scholar Program please contact your
admissions counselor for more information.