Honors Contract Proposal Form

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University Honors Program (UHP)
Proposed
Quarter:
Year:
Honors Contract Proposal Guidelines
Your Honors Contract Proposal identifies an independent project that you will pursue under faculty
mentorship that relates to an upper division course previously or currently enrolled; lower division
work must be pre-approved by your UHP advisor and attached to a UHP course or class limited to
thirty students. Honors contract work is not an extension of any course assignment.
Steps: Type and complete the contract proposal in consultation with your faculty mentor. Email the
signed document to UHPproposals@ucdavis.edu by the last day of instruction proceeding your
project term. Approved contracts will be issued a Course Reference Number (CRN) for registration
prior to the start of the new quarter. Enroll in the authorized course no later than the fifth term day.
Honors Contract Proposal
Student ID Number
Last Name
First Name
M.I.
@ucdavis.edu
Cell Number
Email
UHP Program Year
Honors Contract Request for:
Subject
Number
Quarter & Year Completed
CRN
Units
1. A. Provide us a brief proposal title:
B. Describe your project:
(100 words or less)
2. What are the project’s educational objectives and learning outcomes—knowledge, skills, and abilities?
(100 words or less)
3. How does your project potentially benefit others (e.g. community, research)?
(50 words or less)
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Revised 2/08/2016
4. Develop a project resource, component, or activity (e.g. research, rough draft) timeline:
Week 1:
Week 2:
Week 3:
Week 4:
Week 5:
Week 6:
Week 7:
Week 8:
Week 9:
Week 10:
5. List the mentor meetings you have established (a minimum of three meetings are required):
Date
Meeting 1:
Meeting 2:
Meeting 3:
Meeting 4:
Meeting 5:
Time
Purpose
6. Describe your end product (proposal outcomes are an equivalent of thirty hours and not limited to research papers,
reports, designs, drawings, and/or class presentations) and what you hope to do with your work:
(100 words or less)
7. Provide us your final product submission date:
Instructor’s Signature Required
By my signature below, I hereby agree to sponsor the attached proposal and uphold the standards and
guidelines set forth on the Honors Contract Faculty FAQ, which was provided to me by the student.
Instructor Name
Please Print (Teaching Assistants are not eligible.)
Department
@ucdavis.edu
Office Phone
Email
Date
Instructor’s Signature
Student’s Signature Required
By my signature below, I certify that I have read the Honors Contract Information Sheet and
understand the procedure for establishing an Honors Contract.
Date
Student’s Signature
*Complete your exit survey by the last day of instruction: honors.ucdavis.edu/honors_curriculum/honors_contract*
UHP OFFICE USE ONLY
This Honors Contract was submitted to replace an UHP course. Approved by: ___________________ Date: __________
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Revised 2/08/2016
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