Database
Received
Eastern Michigan University
Honors College
Honors Experience Requirement Form
For students admitted prior to Fall 2007
Name _________________________________________________________________ E-Number ____________________________
Email address _______________________________________________________@emich.edu
To be used for:
University Honors
Class standing (circle one):
Freshman
This Honors Experience fulfills the
Departmental Honors
Sophomore
Junior
Senior
general / multicultural / departmental requirement.
Date on which the Honors experience took place: ______________________________________________
If this is part of a series of unrelated intellectual/cultural events, please indicate here: __________
Briefly describe the Honors Experience:
If pre-approval is required, indicate how the experience meets one of the following goals (attach one additional page if necessary):
1.) Develop leadership skills of Honors students
2.) Enrich the intellectual lives and minds of Honors students
3.) Help create a sense of community among Honors students
4.) Give Honors students broad exposure to cultural diversity and enrichment
5.) Enhance the international experience of Honors students
Honors College Signature (pre-approval): __________________________________________ Date: ____________________________
Honors College Signature (Completion): ___________________________________________ Date: ____________________________
Student Signature: _____________________________________________________________________ Date: ___________________________
Within one month of completion of this Honors Experience, this form plus clearly labeled documentation (including name, Enumber and dates of program) must be returned to the Honors College Office.
DOCUMENTATION OF COMPLETION MUST BE ATTACHED TO FINAL FORM