APPLICATION FOR EXEMPLARY STUDENT IN THE UNIVERSITY HONORS PROGRAM AWARD, 2016-17

Name of Applicant:

Class Status based on the table below: Sophomore Junior Senior

Class Status / University Credits Earned / Honors Credits
Sophomore / 24 to 59.9 / at least 9 earned/undertaking in Spring 2017
Junior / 60 to 89.9 / at least 15 earned/undertaking in Spring 2017
Senior / 90 units or more / at least 18 earned/undertaking in Spring 2017

1. To be eligible for this award, your current cumulative GPA must be 3.6 or higher. What is your current cumulative GPA?

2. How many university credits (toward the 120) have you earned to date?

3. How many Honors credits have you earned to date? And how did you earn them? Check all that apply:

Honors courses H-option projects Honors 498 courses (Honors Common Read, Multicultural Events, Honors Seminar)

4. How many Honors credits will you be undertaking in Spring 2017? Check all that apply:

Honors courses H-option projects Honors 498 courses (Honors Common Read, Honors Seminar)

5. What exemplary service have you performed for the University Honors Program in the past year (Spring 2016-Spring 2017)? Check all that apply:

enrollment in Honors 498 courses (Honors Common Read, Multicultural Events, Honors Seminar)

leadership role and/or active participation in the Honors Student Association, including fundraising activities for HSA

leadership role and/or active participation in an Honors Learning Community

membership on the Honors Council

presentation at Honors conferences (regional and/or national)

leadership role and/or active participation in other University Honors Program events, including (but not limited to) the Honors Banquet, leadership role in the Honors Open House for Incoming Students, Hmong American Peace Academy field trip in Spring 2016, Meditation Workshop(s), and Aldo Leopold Center and International Crane Foundation field trip in Fall 2016. Please identify the event(s):

6. In a 200-word essay, please explain as specifically as you can what you have gained from, what you have contributed to, and what you hope to contribute in the future to the University Honors Program.

7. Please attach a brief letter from a faculty member that demonstrates your academic/intellectual engagement and leadership in the classroom.

Deadline: Please email or hand deliver your completed application form to UW-W Honors Program () by Monday, 13 February 2017, 4 pm. (Please note: due to the timeline in the selection process, no late applications can be accepted.)

Received by ______Date: ______

Revised 5 January 2017