SUU HONORS PROGRAM -- REGISTRATION FORM

First Name
Last Name

Address
City
State/Province
Zip Code

Phone
Email
Gender  

ACT
ENGLISH
MATH
READING
SCIENCE
COMPOSITE
SCORE

Class Rank: out of

High School GPA: on a point scale

High School attended:


ADVANCED PLACEMENT (AP) Courses Completed Score

List any honors or awards, activities or other information about yourself that will assist the Honors Committee in selecting SUU honors participants, beginning with the two activities you feel are most important.

CLASSROOM OR CURRICULUM RELATED


EXTRA-CURRICULAR (Work, Leadership, Clubs, Organizations, etc.)



WRITING SAMPLE Please provide a short sample of your best academic writing on a topic of your choice.
(you may type directly in the box or "cut and paste" from another document)


HONORS ON-CAMPUS HOUSING

I would like to live in the Honors Living Learning Community (Eccles):



TRANSFER OR CONTINUING STUDENTS

Cumulative GPA (for all college level work):

Total number of accumulated college credit:

List all colleges/universities attended:

Current University Standing: