Honors Program Application

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Riverside Community College District
Honors Program Application
Name
Last name
First name
MI
Address
Mailing Address
City
Phone
(
State
)
home
(
)
zip code
RCC student ID
cell
Email
Complete Section IA or IB, Section II, and Section III
Section IA: Current RCCD or other College Students: Eligibility Check
3.00 GPA and completion of nine (9) transferable units
My current RCCD GPA is
_ OR My current college GPA is
Name of college (if other than RCCD)
_
Eligibility for OR completion of English 1A
Have you completed ENG-1A?
YES
_ NO
If yes, where did you complete it?
Have you taken the RCCD English Placement Test?
YES
NO
Note: students must be ENG-1A qualified to enter the Honors Program, if you are not ENG-1A qualified
and have not yet taken the English Placement Test, please take the test at your earliest convenience.
Complete Honors program orientation before or during their first semester in the program
Section IB: Incoming High School OR First-time College Students (less than 9 units): Eligibility Check
3.00 GPA
My High School GPA is
OR My current college GPA is
_
HS GPA will need to be verified by providing transcripts or a letter from a HS counselor / principal
Non-RCCD students will need to provide transcripts to verify GPA
Eligibility for OR completion of English 1A
Have you completed ENG-1A?
YES
_ NO
If yes, where did you complete it?
Have you taken the RCCD English Placement Test?
YES
NO
Note: students must be ENG-1A qualified to enter the Honors Program, if you are not ENG-1A qualified
and have not yet taken the English Placement Test, please take the test at your earliest convenience.
Completed application to RCCD, if applicable
Complete Honors program orientation before or during their first semester in the program
Section II: Personal Statement
Please write a brief statement explaining why you are interested in the Honors Program, your interests
outside the classroom, how you would benefit from the Honors Program, and how the Honors Program
would benefit from your participation. Your statement should be 100 -200 words.
For info: Moreno Valley Nick Sinigaglia@mvc.edu 951.571-6173  Norco Lyn.Greene@norcocollege.edu 951.739-7846  Riverside City Thatcher.Carter@rcc.edu 951.222-8562
Riverside Community College District
Honors Program Application
Section III: Student Profile
A key component of the Honors Program is mentoring students though the transfer process.
Please answer the following questions so that we may better assist you in this process.
1. I plan to transfer to a 4-year college or university during the
semester of
(year: xxxx).
2. List the top five colleges/universities to which you would like to transfer:
3. Have you completed an Education Plan with your RCCD counselor?
(Fall or Spring)
YES
NO
4. I am currently taking classes on
(check all that apply):
Moreno Valley College
Norco College
Currently, I am not taking RCCD classes.
Riverside City College
5. In order to enroll in honors courses, I am willing to attend classes on
Moreno Valley College
Norco College
(check all that apply):
Riverside City College
6. I consider
my “home College.”
Moreno Valley College
Norco College
7.
Riverside City College
Please tell us how you heard about the Honors Program
High School Counselor
RCCD Counselor: name, if known
Another student
Direct Mailing
Phone call: caller’s name, if known
Other (please describe):
Your signature here indicates your understanding that as a student in the honors program, honors coordinators will be able to
check your transcripts/grades to ensure your continued eligibility for the program:
Signature
date
Petition for Special Admission
If you do not currently meet eligibility requirements (GPA, transcript requirement, etc.), yet are still interested in the
Honors Program, we encourage you to complete and submit the Petition for Special Admission form with your application.
Submit your completed application, personal statement, and Petition for Special Admission (if applicable) to:
Sylvia Thomas
Associate Vice Chancellor of Educational Services and District-wide Honors Coordinator
Riverside Community College District
1533 Spruce Street, Second Floor
Riverside, CA 92507
951/222-8991 Attn: Debbie McDowell
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