Dr. Jessica R. McKinley, Co-Director
Myra Bozeman, Co-Director
Room: 10-339
Phone: 937.512.4331
Email:Jessica.mckinley1425@sinclair.edu
Email: myra.bozeman@sinclair.edu
Honors Scholars Program Application Form
Date:
Name:
Tartan ID:
Address:
Phone:
City:
State:
Email:
Zip:
Cell Phone:
Major:
Admission to the Honors Scholars Program
The Honors Program at Sinclair Community College offers the opportunity to experience an enriched
academic environment and promotes academic excellence among intellectually gifted, unusually creative
or highly motivated students. Honors course work is in-depth study where dedicated faculty members
work closely with the students in an open exchange of ideas.
NOTE: Students who are not currently attending Sinclair Community College must also complete an
application of admission to the College.
1. Evidence of academic potential (check at least one):
3.25 cumulative GPA on course work taken at Sinclair
Score of 90th percentile or better on at least two of the Accuplacer tests
High-school GPA of 3.25 or better (out of 4.0), or in top 10% of graduating class
Balanced combined score of 1100 or better on SAT, or 25 or better on ACT
Demonstration of special abilities or talents (portfolios, projects, awards, etc)
Completion of at least 2 Sinclair honors courses with an A or B
High School:
Graduated (mo/yr):
College:
Major:
/
2. Essays:
Please submit a short essay (about 200 words) explaining why you would like to participate in the Sinclair
Honors Scholars Program. The essay may list any reasons you have but should explain why you are
interested, how your interest relates to your future plans, and why you think being in the Program would
enhance your academic experience.
3. Letters of recommendation (2):
Ask for two letters of recommendation from educators (high school or college) who can attest to your
academic ability and ask him/her to mail the letter directly to us. If the writer works at Sinclair, the letter
can be sent through campus mail. Recommendations via e-mail are also acceptable; send to
derek.petrey@sinclair.edu. Provide your letter of recommendation writers a stamped envelope addressed
to:
Dr. Jessica R. McKinley, Co-Director
Myra Bozeman, Co-Director
Room: 10-339
Phone: 937.512.4331
Email:Jessica.mckinley1425@sinclair.edu
Email: myra.bozeman@sinclair.edu
Sinclair Honors Program, Sinclair Community College, 444 West Third Street, Dayton, OH 45402-1460
List your two letters of recommendation writers:
Name:
Title/Position:
Name:
Title/Position:
4. Transcripts:
Please send or bring a transcript to the Honors Program office (room 10-339). Sinclair kiosk transcripts
are acceptable, but, if from another college, it must be an official transcript (with seal). If you are just
entering college, have your high school send us a copy of your transcript. You may also send in any other
documentation that you feel will help us make a decision.
5. Interview:
Near the end of the quarter you may be asked to come in for an interview with two or more Honors
Council members. The interview offers us an opportunity to learn more about you as well as for us to
describe the Program in depth. Please list the days and times that you are available for an interview:
6. Other evidence that will show academic excellence:
Please submit any other information that you think may assist the Honors Council in making a decision
about your application. For example, you can list any awards or honors you have received at Sinclair or
elsewhere.
7. How did you hear about us?
8. Please return to:
Sinclair Honors Program (10-339) , Sinclair Community College, 444 W Third St., Dayton, OH
45402
9. Deadline:
The Honors Council meets quarterly to review completed applications, so students may submit materials
anytime during the quarter. Students are strongly advised to view the Honors Program website or to
contact the office to determine a specific deadline for individual applications. We will contact you by
mail once a decision has been reached about your application.
Dr. Jessica R. McKinley, Co-Director
Myra Bozeman, Co-Director
Room: 10-339
Phone: 937.512.4331
Email:Jessica.mckinley1425@sinclair.edu
Email: myra.bozeman@sinclair.edu
Sinclair Honors Program
Sinclair Community College
444 W Third Street ~ Dayton, OH 45402
Honors Program Recommendation Form
To the applicant: Fill in your name and address below, and give this form to a teacher who
knows you will and who has taught you in an academic discipline. Also complete the FERPA
release form below.
Date:
Applicant:
Tartan ID:
Address:
Phone:
City:
State:
Email:
Zip:
Cell Phone:
To the teacher: The Honors Council would appreciate your candid evaluation of this student
as an applicant to the Honors Program at Sinclair Community College. Fill in the questions
below and return this form to the Sinclair Honors Program, Sinclair Community College, 444
West Third Street, Dayton, OH 45402-1460. If you have any questions, please call
937.512.4331, or email Jessica.mckinley1425@sinclair.edu or myra.bozeman@sinclair.edu
Name:
Title:
Department:
School:
School address:
School phone:
In what course(s) have you taught the applicant?
What are the first words that come to mind to describe the applicant?
Compared to other students, how would you rate this applicant? 1: below average. 2: average.
3: above average. 4: outstanding. 5: one of the best students I’ve ever taught.
Dr. Jessica R. McKinley, Co-Director
Myra Bozeman, Co-Director
Room: 10-339
Phone: 937.512.4331
Email:Jessica.mckinley1425@sinclair.edu
Email: myra.bozeman@sinclair.edu
Creative thinking
Motivation
Initiative
Written expression of ideas
Effective class discussion
1
1
1
1
1
2
2
2
2
2
3
3
3
3
3
4
4
4
4
4
5
5
5
5
5
Please attach a detailed description and evaluation of the student’s academic work,
motivation, intellectual ability, and contributions in class or respond to the following
questions.
1. Please comment on the applicant’s attitude toward learning in general, how well he or she
synthesized information, and whether he or she is willing and able to consider alternative
points of view.
2. Please comment on any special interest or talents that may distinguish this applicant from
others.
Dr. Jessica R. McKinley, Co-Director
Myra Bozeman, Co-Director
Room: 10-339
Phone: 937.512.4331
Email:Jessica.mckinley1425@sinclair.edu
Email: myra.bozeman@sinclair.edu
Signed:
Date:
Sinclair Honors Program(10-339)
Sinclair Community College
444 W Third Street ~ Dayton, OH 45402
Dr. Jessica R. McKinley, Co-Director
Myra Bozeman, Co-Director
Room: 10-339
Phone: 937.512.4331
Email:Jessica.mckinley1425@sinclair.edu
Email: myra.bozeman@sinclair.edu
FERPA RELEASE
Letter of Recommendation
Sinclair Community College
444 West Third Street, Dayton, Ohio 45402
[INSTRUCTIONS and EXAMPLES look like this]
Name of Student
(Print Name)
(Tartan ID #)
In accordance with the Family Educational Rights and Privacy Act of 1974 (FERPA), I, the
undersigned, hereby authorize _________________________________ [instructor / staff name]
to write a letter of recommendation in which he/she may reference the following educational
records and information:
[list educational records information that will be included, such as grades, GPA, class rank, etc.]
1.
2.
3.
to: [name and address of receiving party provided by student]
Derek Petrey
Sinclair Honors Program
Sinclair Community College
444 W Third Street
Dayton, OH 45402
email: Derek.petrey@sinclair.edu
for the purpose of: [providing a recommendation for employment or scholarship]
I understand further that (1) I have the right not to consent to the release of my education
records; (2) I have the right to receive a copy of such records upon request; (3) and that this
consent shall remain in effect until revoked by me, in writing, and delivered to Sinclair
Community College, but that any such revocation shall not affect disclosures previously made by
Sinclair Community College prior to the receipt of any such written revocation.
□ I waive my right to review a copy of this letter at any time in the future.
□ I do not waive my right to review a copy of this letter at any time in the future.
Student’s Signature
Date
THIS INFORMATION IS RELEASED SUBJECT TO THE CONFIDENTIALITY PROVISIONS OF FERPA
AND OTHER APPROPRIATE STATE AND FEDERAL LAWS AND REGULATIONS, WHICH PROHIBIT
ANY FURTHER DISCLOSURE OF THIS INFORMATION WITHOUT THE SPECIFIC WRITTEN CONSENT
OF THE PERSON TO WHOM IT PERTAINS, OR AS OTHERWISE PERMITTED BY SUCH REGULATIONS.
Dr. Jessica R. McKinley, Co-Director
Myra Bozeman, Co-Director
Room: 10-339
Phone: 937.512.4331
Email:Jessica.mckinley1425@sinclair.edu
Email: myra.bozeman@sinclair.edu
cc: [same as above recipient of letter] Derek Petrey
Honors Program Recommendation Form
To the applicant: Fill in your name and address below, and give this form to a teacher who
knows you will and who has taught you in an academic discipline. Also complete the FERPA
release form below.
Date:
Applicant:
Tartan ID:
Address:
Phone:
City:
State:
Email:
Zip:
Cell Phone:
To the teacher: The Honors Council would appreciate your candid evaluation of this student
as an applicant to the Honors Program at Sinclair Community College. Fill in the questions
below and return this form to the Sinclair Honors Program, Sinclair Community College, 444
West Third Street, Dayton, OH 45402-1460. If you have any questions, please call
937.512.2092, or email Derek.petrey@sinclair.edu
Name:
Title:
Department:
School:
School address:
School phone:
In what course(s) have you taught the applicant?
What are the first words that come to mind to describe the applicant?
Compared to other students, how would you rate this applicant? 1: below average. 2: average.
3: above average. 4: outstanding. 5: one of the best students I’ve ever taught.
Dr. Jessica R. McKinley, Co-Director
Myra Bozeman, Co-Director
Room: 10-339
Phone: 937.512.4331
Email:Jessica.mckinley1425@sinclair.edu
Email: myra.bozeman@sinclair.edu
Creative thinking
Motivation
Initiative
Written expression of ideas
Effective class discussion
1
1
1
1
1
2
2
2
2
2
3
3
3
3
3
4
4
4
4
4
5
5
5
5
5
Please attach a detailed description and evaluation of the student’s academic work,
motivation, intellectual ability, and contributions in class or respond to the following
questions.
1. Please comment on the applicant’s attitude toward learning in general, how well he or she
synthesized information, and whether he or she is willing and able to consider alternative
points of view.
2. Please comment on any special interest or talents that may distinguish this applicant from
others.
Dr. Jessica R. McKinley, Co-Director
Myra Bozeman, Co-Director
Room: 10-339
Phone: 937.512.4331
Email:Jessica.mckinley1425@sinclair.edu
Email: myra.bozeman@sinclair.edu
Signed:
Date:
Sinclair Honors Program
Sinclair Community College
444 W Third Street ~ Dayton, OH 45402
Dr. Jessica R. McKinley, Co-Director
Myra Bozeman, Co-Director
Room: 10-339
Phone: 937.512.4331
Email:Jessica.mckinley1425@sinclair.edu
Email: myra.bozeman@sinclair.edu
FERPA RELEASE
Letter of Recommendation
Sinclair Community College
444 West Third Street, Dayton, Ohio 45402
[INSTRUCTIONS and EXAMPLES look like this]
Name of Student
(Print Name)
(Tartan ID #)
In accordance with the Family Educational Rights and Privacy Act of 1974 (FERPA), I, the
undersigned, hereby authorize _________________________________ [instructor / staff name]
to write a letter of recommendation in which he/she may reference the following educational
records and information:
[list educational records information that will be included, such as grades, GPA, class rank, etc.]
4.
5.
6.
to: [name and address of receiving party provided by student]
Derek Petrey
Sinclair Honors Program
Sinclair Community College
444 W Third Street
Dayton, OH 45402
email: Derek.petrey@sinclair.edu
for the purpose of: [providing a recommendation for employment or scholarship]
I understand further that (1) I have the right not to consent to the release of my education
records; (2) I have the right to receive a copy of such records upon request; (3) and that this
consent shall remain in effect until revoked by me, in writing, and delivered to Sinclair
Community College, but that any such revocation shall not affect disclosures previously made by
Sinclair Community College prior to the receipt of any such written revocation.
□ I waive my right to review a copy of this letter at any time in the future.
□ I do not waive my right to review a copy of this letter at any time in the future.
Student’s Signature
Date
THIS INFORMATION IS RELEASED SUBJECT TO THE CONFIDENTIALITY PROVISIONS OF FERPA
AND OTHER APPROPRIATE STATE AND FEDERAL LAWS AND REGULATIONS, WHICH PROHIBIT
ANY FURTHER DISCLOSURE OF THIS INFORMATION WITHOUT THE SPECIFIC WRITTEN CONSENT
OF THE PERSON TO WHOM IT PERTAINS, OR AS OTHERWISE PERMITTED BY SUCH REGULATIONS.
Dr. Jessica R. McKinley, Co-Director
Myra Bozeman, Co-Director
Room: 10-339
Phone: 937.512.4331
Email:Jessica.mckinley1425@sinclair.edu
Email: myra.bozeman@sinclair.edu
cc: [same as above recipient of letter] Derek Petrey