University Honors Program Application

1. BIOGRAPHICAL DATA
 

First   Middle   
Last

Street

City

StateZip

Telephone NumberEmail

Please check:Public SchoolPrivate SchoolHome School

Name of High School

Year of GraduationHigh School GPA
Rank in Class

Intended Major(s)

2. FORMAL TEST DATA. List your highest exam scores. Please do not superscore or mix sub-set scores from separate exam dates.

ACT DATE English Math Reading Science Reasoning Composite

 

SAT DATE Verbal Math

3. ADVANCED COURSEWORK. Attach one copy of your current high school transcript. Your transcript will be reviewed and kept within the University Honors program. A separate transcript for admission purposes should be sent with your admission application to the Office of Admissions, Arkansas Tech University, 141 Doc Bryan, Russellville AR 72801.

List any honors courses and the grades you received in the appropriate year.

COURSE 9th grade 10th grade 11th grade 12th grade
EXAMPLE: HONORS ENGLISH B A A A

List any concurrent courses, the institution, the appropriate year, and the grades you received.

COLLEGE COURSE INSTITUTION SCHOOL YEAR Grade
EXAMPLE: COMPOSITION I NORTH ARK 11th A


4. HONORS AND ACTIVITIES.
List the academic honors and awards you have received, and indicate the year in which you received them.

HONORS AND AWARDS 9th grade 10th grade 11th grade 12th grade


List the most important extracurricular projects or programs in which you have participated.

5. ESSAY. Provide a typed essay of 300-500 words attached to a separate email. Please DO NOT submit writing that has been considered for essay and/or scholarship competitions. Choose one of the following topics:

A. A current political or social issue
B. An exceptional novel you have read and why you consider it noteworthy
C. A travel experience that made a significant impact upon your life

Dr. Jan Jenkins, Professor of History and Dir University Honors
Department of History and Political Science
407 West Q St, WPN 239B
Russellville, AR 72801

I hereby affirm that all information supplied in these blanks is complete and accurate. It is my understanding that I shall not be considered for a University Honors interview until I have submitted all credentials specified.

   

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