University of California, Irvine

CAMPUSWIDE HONORS PROGRAM

APPLICATION FORM

NAME
PERMANENT ADDRESS
Number and Street

LOCAL ADDRESS
Number and Street

City

State

Zip

City

State

Zip

PHONE # E-MAIL ADDRESS HIGH SCHOOL CURRENT COLLEGE MAJOR(S) AT UCI COLLEGE LEVEL: CONTINUING FRESHMAN SOPHOMORE

PHONE # STUDENT ID#

JUNIOR

IF YOU ARE A TRANSFER STUDENT, DID YOU COMPLETE AN HONORS PROGRAM AT YOUR PREVIOUS COLLEGE? YES NO [IF YES, PLEASE ATTACH COMMUNITY COLLEGE TRANSCRIPT.] SIGNATURE DATE

Please answer the following questions in short essay form. Attach your answers to this cover sheet. ALL RESPONSES MUST BE TYPED. For transfer students, please include any transcripts from colleges other than UCI. Deliver or send your application packet to the Honors Office. The address is below. The CHP is an academic program. Please review our requirements at http://www.honors.uci.edu/prospectiveuci.php BEFORE you answer the following questions. All CHP students (including transfer students) are required to engage in undergraduate research and successfully complete an honors thesis or creative project. NOTE: By submitting this application, you are authorizing the CHP to access your UCI transcript for the purpose of evaluating your academic record.

1. What are your academic goals while at UCI, including the CHP Core Courses you propose to take, and/or your research and thesis interests? 2. What are your long-term academic or career goals at this time? 3. Why would you like to be in the Campuswide Honors Program? 4. What do you think you would contribute to the program? 5. What skills, talents and interests have prepared you to be successful in a rigorous academic program? 6. Please list any honors, awards, scholarships or special recognition you have received. 7. Please list any involvement in service to the community or to UCI, including any leadership roles. 8. How did you learn/hear about the Campuswide Honors Program? Faculty member Internet Friend Other
Campuswide Honors Program 1200 Student Services II University of California Irvine, CA 92697-5680 (949) 824-5461 honors@uci.edu http://www.honors.uci.edu

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