MIDTERM CONFERENCE SUMMARY SHEET (FORM A): FALL 2014*
FOR STUDENTS ON THE ORIGINAL CURRICULUM
(Mandatory for an Early Spring 2015 Registration Time Ticket)
Honors Student: _____________________________
Phone:
______________________
E-mail: _______________________________________ KSU ID#: ____________________
Mentor: ______________________________ Declared Major: _______________________
*This form must be completed, initialed by your Honors faculty advisor, and submitted to the Honors
Office by November 3, 2014 if you wish to continue receiving an advanced priority registration time.
Current Honors
Standing
(To be completed by the
Honors Office)
Student has met
requirement that he/she
complete an Honors-prefix
course, gen. ed. Honors
section, or Honors contract
his/her first calendar year in
the Honors Program
Date of
Midterm Conference
Anticipated Date of
Graduation
(Adviser: Please
complete)
(Adviser: Please
complete)
(Adviser: Please complete)
Yes/No/Not yet applicable
HONORS STUDENT: PLEASE COMPLETE THE SECTIONS BELOW. Indicate in the line provided THE TERM AND
YEAR in which you complete the following requirements (Requirements 1-5 do not need to be
completed sequentially):
__________(1) 1st Honors Colloquium (HON 3000)
Course __________________
__________(2) 2nd Honors Colloquium (HON 3000) or Honors Seminar (HON 2290 or 4490) (If
used to satisfy 2nd Honors Colloquium requirement, same section of HON 2290 or 4490 cannot also be
used for Honors Experience I or III). Course __________________
__________(3) Honors Experience I: Honors Seminar, Honors Gen. Ed. Course, Honors Contract
Experience in Non-Honors Course, Honors Directed Study.
Course __________________
__________(4) Honors Experience II: Applied Learning Experience: How will you completed this
requirement (through a non-honors course in your major with a field element? an internship? a volunteer
experience related to your major? a teaching assistantship or work as a tutor? a S.A.L.T. fellowship?
some other experience?)
_____________________________________________________________
__________(5) Honors Experience III: Repetition of Honors Experience I or II
Course __________________
__________(6) Honors Senior Capstone Experience (HON 4499) pre-req.: HONORS COUNCIL
APPROVAL OF HONORS SENIOR CAPSTONE PROPOSAL
TO HONORS MENTOR: Please initial below:
__________(a) I approve of my advisee’s honors curriculum plan.
__________(b) I am concerned that my advisee will not be able to complete the Honors
requirements outlined above before graduating.
__________(c) Student did not meet with me.