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