2016 Centralis Honors Scholarship Competition Application
Only those high school seniors receiving a Centralis Scholarship will be admitted to the 2016 Honors Program first-year class.
This application is due at the Centralis Honors Scholarship Competition Day.
The minimum eligibility requirements to compete for a Centralis Honors scholarship, and therefore a seat in the 2016 Honors
Program first year class, are a 3.7 high school GPA and a 27 ACT. In addition, applicants must complete this application and bring it
with them to one of the two on-campus Centralis Honors Scholarship Competition days, (October 17, 2015 or November 7, 2015).
At the competition applicants will write an impromptu essay that will count as part of their overall application. To reserve your
place at the competition, register online by October 9 for the October 17 competition, or October 30 for the November 7
competition, at go.cmich.edu/visit or by phone at (989)-774-3076 or toll-free at (888) 292-5366.
IMPORTANT: You must bring this scholarship application WITH YOU to the Competition Day. Failure to present this
completed application at the competition will make you ineligible to compete for a Centralis Scholarship and therefore
a seat in the 2016 Honors Program first-year class.
Please provide answers to the following questions.
What competition day do you plan to attend?
(circle one)
What is the status of your admission to CMU? (circle one)
First Name
October 17
November 7
Already admitted
Awaiting a decision Have not yet applied
Middle Initial
Last Name
CMU ID Number (if known)
Guardian’s Name(s)
Permanent Address (Street, City, State, Zip Code)
Home Phone
Cell Phone
Date of Birth (Month, Day, Year)
Email Address
Gender (circle one)
Male Female
Intended Major/Area of Study (if unknown, please describe academic interests)
Date of Entry to CMU (ex: Fall 2014)
High School Attending
High School Phone Number
High School Graduation Date
(include city and state)
Cumulative High
Composite
Class rank/out of how many graduates
School GPA
ACT Score
(if known)
In the space below please provide contact information for two individuals who can and will speak to your academic promise:
Name
How do you know this person
Phone
1
(
)
2
(
)
Email
New college students whose parents have not completed a four year college degree (Bachelor’s Degree) may be referred to as a
“first generation college student.” Are you a first generation college student?
Please circle one:
Yes
No
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I. Profile Information You may insert lines or attach extra pages if more space is needed to list/describe activities in any category.
Foreign Language Studied or Spoken
Language 1:
Number of Years:
Language 2:
Number of Years:
Special Coursework— Please list any coursework taken in the following areas during high school. Honors course work, advanced course work,
Advanced Placement (AP) course work, IB coursework and/or dual-enrollment .
Course Title
Example: BIO 101
Type of Course
Example: Dual-Enrollment at LCC
Semester
Spring 2013
Grade
In progress
We understand that not all schools have equal opportunities to take advanced coursework (i.e. Honors, AP, IB, dual-enrollment, nearby community
college). If you believe your options were limited for these types of courses, please explain those limits and what opportunities were available at your
school or in your community. You may attach additional pages if necessary.
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Memberships and Extracurricular Activities: Include involvement in clubs, organizations, conferences, and other significant activities at
your high school or in your community. You may attach additional pages if necessary.
Total Number of Hours
Fr
Years Involved
Organization or
Invested During High
(please circle)
Group Name
School
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Example: Spanish Club
40
Position / Duties
Treasurer
Responsibilities
Handled financial matters
Diversity and International Experiences—Please describe any significant diversity-related or international experiences you have had (i.e. study
abroad/travel abroad, diversity events, organizations, life experience, etc. You may attach additional pages if necessary.
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Community and Volunteer Service—Include all the service you have participated in throughout your high school years. You may attach
additional pages if necessary
Years of Service
Organization or Group Name
(please circle)
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Total Hours Contributed
Description of Activity
Per Project / Site
Example: Elm Street Soup Kitchen
30
Volunteered on a weekly basis at the local soup kitchen
Enter your COMBINED TOTAL HOURS of service
completed….
Awards and Honors. Include awards, honors, and scholarships you received from high school, colleges, community and civic organizations.
Include academic, music, and athletic awards. Do not include honor roll, NHS, or CMU Prestige Award. Attach additional pages if necessary.
Years Involved
Organization or Group Name
Award Title
(please circle)
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
Fr
So
Jr
Sr
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II. Creative Piece and Personal Statement
The University Honors Program is designed to provide high academic ability students with unique educational opportunities
and challenges consistent with a specific mission and set of values. This means that Honors education at CMU is not
necessarily well suited for all high academic ability students equally. With this in mind, please first take some time to
carefully reflect on the formal CMU Honors Program mission and values statements below:
Mission
Providing high academic ability students with unique educational opportunities and experiences, the CMU
Honors Program challenges students to aim higher and to achieve more academically, personally, and
professionally for the greater good of our disciplines, our society, and our world.
Core Values
The primary values that guide the implementation of the Honors Program mission include:
 Critical thought, scholarly inquiry, and creative expression
 Respect and appreciation for diverse peoples and ideas in a global society
 High standards for integrity and personal aspirations
 Active citizenship and service for the greater good
(Creative Piece and Personal Statement guidelines continued on next page…)
Part 1:
CREATIVE PIECE: On an 8.5 x 11 sheet of paper, (one side only) make a creative presentation that describes
who you are and what you bring to the Honors community. Any medium or format is acceptable as long as it fits on the
page. There are no set guidelines for this part of the application. We want you to use this as an opportunity to express
yourself in a creative fashion and we don’t want to limit that creativity.
Part 2:
WRITTEN PERSONAL STATEMENT: Given your assessment of how you fit with our Honors Program mission and
core values, you are challenged to write a thoughtful personal statement that highlights why you believe you are a good
fit with University Honors. Beyond the facts already listed in your application, what would you share with the Honors
Program Review Committee to help them understand why you should be selected to join our CMU Honors community?
Please limit your response to 500 words or less.
Your goal in completing the 1) creative piece and the 2) written personal statement is to distinguish yourself from the other
Honors Program applicants. This is your opportunity to introduce yourself to the review committee, as you wish, and to
make your case for why you should be selected to join our University Honors community!
Both the written personal statement and the creative piece must be securely attached to your application to receive full
consideration in the review process.
III. Competition Essay (this part of the application is completed at the Competition Day)
You will receive the prompt for the essay at the Competition and have one hour to respond on-site to the prompt.
Your Competition Essay will be later accessed and reviewed for quality of writing as well as evidence of critical thought.
Additional Information:
After you have completed this application, we recommend that you review it with a school administrator or counselor.
We also suggest that you make photocopies of the entire application for your records as we will not return these items
to you or be able to provide copies for you at a later date.
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By signing this application you attest that all of the information is true, to the best of your knowledge, and you agree to
allow verification by Central Michigan University.
Signature of Applicant: _______________________________________ Date _______________________________
APPLICATION SUBMISSION INFORMATION:
IMPORTANT: You must bring this scholarship application WITH YOU to the Competition Day. Failure to present this
completed application at the competition will make you ineligible to compete for a Centralis Scholarship and therefore
a seat in the 2016 Honors Program first-year class.
Note: If you are writing the competition essay at a proctored test site, (because you live in a state that is not adjoining to
Michigan) your essay and this application must be mailed together in one envelope, with a postmark no later than October 30,
2015, to: CMU Honors Program Office, 104 Powers Hall, Mount Pleasant, MI 48859.
CMU an AA/EO institution strongly and actively strives to increase diversity with in the community. (See www.cmich.edu/aaeo)
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