Honors Application

Use your Tech ID #
Date of Birth
Academic Information
Your rank in your graduating class
Honors and AP Courses
List any Honors or AP courses and the grade you received:
Honors and Awards

List the academic honors and awards you have received, and include the years in which you received them:

Extracurricular Activities
List the most important extracurricular projects or programs in which you have participated:
Essay Submission
Please copy and paste a typed essay of 300-500 words on a topic in the expanding textbox below. For instance:
A. Write a thank-you letter to someone in your life. Express your gratitude, and detail what you appreciate and why it is important to you.

B. Write a response to this statement: "I intend to change the world by...".

C. Write a response to this statement: "The one thing I failed at was..." and explain how the experience changed your outlook.
Dr. Georgeanna Wright, Assistant Professor of Health Informatics; University Honors Director
Rothwell Hall 452
106 West O St.
Russellville, AR 72801

I hereby affirm that all information supplied on this form 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.