2013Honors Program Early Priority Admission Application and Centralis Scholarship Application

2013Honors Program Early Priority Admission Application and Centralis Scholarship Application

(This application is for both Honors Program early priority admission and for the Centralis Scholarship. It is due at your Centralis Competition Day)

IMPORTANT: You must bring this scholarship WITH YOU to the Competition Day. Failure to present this completed application at the competition would make you ineligible to compete for the Centralis Scholarship and the opportunity to compete for early priority admission to the CMU Honors Program.

Note: If you are writing the competition essay at a proctored test site, your essay and this application must be mailed to CMU, in one envelope, with a postmark no later than November 10, 2012, to: CMU Honors Program Office, 104 Powers Hall, Mount Pleasant, MI 48859.

Please provide answers to the following questions.

What competition day do you plan to attend? (circle one) October 27 November 10 Proctored on-site by Nov 10

What is the status of your admission to CMU? (circle one) Already admitted Awaiting a decision Have not yet applied

First Name / Middle Initial / Last Name
CMU ID Number (if known)
Mother’s Name / Father’s Name
Permanent Address (Street, City, State, Zip Code)
Home Phone / Cell Phone / Date of Birth (Month, Day, Year)
Email Address / Gender (circle one) Male Female
Intended Major/Area of Study (if unknown, please describe academic interests) / Date of Entry to CMU (ex: Fall 2013)
High School Attending
(include city and state) / High School Phone Number / High School Graduation Date
Cumulative High
School GPA / Composite
ACT Score / Class Rank
(if known)
In the space below please provide contact information for two individuals who can and will speak to your academic promise:
Name / How do you know this person / Phone / Email
1 / ( )
2 / ( )
New college students who reside with parents that have not completed a four year college degree (Bachelors Degree) are sometimes referred to as a “first generation college student”. Are you a first generation college student?
Please circle one: Yes No

I. Profile Information You may attach extra pages if you need more space to list or describe activities in any category.

Foreign Study
Have you studied in a foreign country?
Circle one: Yes No / If so where? / For how long?
Foreign Travel
Have you traveled to or lived in a foreign country?
Circle one: Traveled to Lived in Neither / If so where? / For how long?
Foreign Language Studied or Spoken
Language 1: / Number of Years:
Language 2: / Number of Years:
Special Coursework—Please list any coursework taken in the following areas during high school. Honors course work, advanced course work, Advanced Placement (AP) course work, and/or dual-enrollment at a community college.
Course Title / Type of Course / Semester / Grade
Example: BIO 101 / Example: Dual-Enrollment at LCC / Spring 2005 / In progress
Memberships and Extracurricular Activities: Include involvement in clubs, organizations, conferences, and other significant activities at your high school or in your community in which you had a LEADERSHIP ROLE (i.e. President, Secretary, Captain, Director, Chairperson, Coach, etc.)
Years Involved
(please circle) / Organization or
Group Name / Total Number of Hours Invested During High School / Position / Duties / Responsibilities
Fr So Jr Sr / Example: Spanish Club / 40 / Treasurer / Handled financial matters
Fr So Jr Sr
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Of the above extracurricular activities briefly describe which was most meaningful to you and why?

Community and Volunteer Service—Include all the community service projects you have participated in throughout your high school years.
Years of Service
(please circle) / Organization or Group Name / Total Hours Contributed Per Project / Site / Description of Activity
Fr So Jr Sr / Example: Elm Street Soup Kitchen / 30 / Volunteered on a weekly basis at the local soup kitchen
Fr So Jr Sr
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Enter your COMBINED TOTAL HOURS of service completed….
/

Of the above service activities briefly describe which was the most meaningful to you and why?

Awards and Honors. Include awards, honors, and scholarships you received from your high school and any national, religious, community, or business organizations. Include academic, music, and athletic awards. Do not include honor roll, NHS, or CMU Board of Trustees Scholarship.
Years Involved
(please circle) / Organization or Group Name / Award Title
Fr So Jr Sr / Example: Band / The John Philip Sousa Award
Fr So Jr Sr
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Fr So Jr Sr

II. Creative Piece and Personal Statement

The University Honors Program is designed to provide high academic ability students with unique educational opportunities and challenges consistent with a specific mission and set of values. This means that Honors education at CMU is not necessarily well suited for all high academic ability students equally. With this in mind, please first take some time to carefully reflect on the formal CMU Honors Program mission and values statements below:

Mission

Providing high academic ability students with unique educational opportunities and experiences, the CMU Honors Program challenges students to aim higher and to achieve more academically, personally, and professionally for the greater good of our disciplines, our society, and our world.

Core Values

The primary values that guide the implementation of the Honors Program mission include:

Critical thought, scholarly inquiry, and creative expression
Respect and appreciation for diverse peoples and ideas in a global society
High standards for integrity and personal aspirations
Active citizenship and service for the greater good

(Creative Piece and Personal Statement guidelines continued on next page…)

Part 1 (Creative piece): On an 8.5 x 11 sheet of paper, (one side only) make acreativepresentation that describes who you are and what you bring to the Honors community. Any medium or format is acceptable as long as it fits on the page. There are no set guidelines for this part of the application. We want you to use this as an opportunity to express yourself in a creative fashion and we don’t want to limit that creativity.

Part 2 (Written personal statement): Given your assessment of how you fit with our Honors Program mission and core values, you are challenged to write a thoughtful personal statement that highlights why you believe you are a good fit with University Honors. Beyond the facts already listed in your application, what would you share with the Honors Program Review Committee to help them understand why you should be selected to join our CMU Honors community? Please limit your response to 500 words or less.

Your goal in completing the 1)creative piece and the 2) written personal statement is to distinguish yourself from the other Honors Program applicants. This is your opportunity to introduce yourself to the review committee, as you wish, and to make your case for why you should be selected to join our University Honors community!

Both the written personal statement and the creative piece must be securely attached to your application to receive full consideration in the review process.

III. Competition Essay (this part of the application is completed at the Competition Day)

You will receive the prompt for the essay at the Competition and have one hour to respond on-site to the prompt.
Your Competition Essay will be later accessed and reviewed for quality of writing as well as evidence of critical thought.

Additional Information:

After you have completed this application, we recommend that you review it with a school administrator or counselor. We also suggest that you make photocopies of the entire application for your records as we will not return these items to you or be able to provide copies for you at a later date.

By signing this application you attest that all of the information is true, to the best of your knowledge,and you agree to allow verification by Central Michigan University.

Signature of Applicant: ______Date ______

APPLICATION SUBMISSION INFORMATION:

Note: If you are writing the competition essay at a proctored test site, your essay and this application must be mailed to CMU, in one envelope, with a postmark no later than November 10, 2012 to: CMU Honors Program Office, 104 Powers Hall, Mount Pleasant, MI 48859.

CMU an AA/EO institution strongly and actively strives to increase diversity with in the community. (See

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