61 Wilder Street, OLeary Library 3rd Floor | Lowell, MA 01854

Tel: 978.934.2797 | Fax: 978.934.2065 | Email: honors@uml.edu

www.uml.edu/honors

Membership Form
For Incoming Freshmen and Transfers
Congratulations, you are invited to join the Honors College at UMass Lowell! To accept
entrance into the program, return this form to the address, fax, or email listed below.
Check one of these boxes:
I

am an incoming freshman.

I am an incoming transfer student.

First Name: _____________________________ Last Name: ______________________________

Student ID Number: ____________________ Major: _____________________________________
Email Address: ___________________________________________________________________
Permanent Address: ______________________________________________________________
City: _____________________________________________ State: ______ Zip: _______________

For Transfer Students Only

Along with this form, transfer students must submit an unofficial copy of their college or university
transcript.
Transfer students must also develop an Honors Program of Study by working with an Honors Advisor.
This should be done prior to their first semester at UMass Lowell. Transfer students will not be officially
admitted into the UMass Lowell Honors College until an approved Honors Program of Study is defined.

Please mail this Membership Form to:

University of Massachusetts Lowell
Honors College OLeary Library 3rd floor
61 Wilder Street, Lowell, MA 01854-5146

Fax to: 978-934-2065

or
Email to: Honors@uml.edu

For office use only: FRLM