Name: University of Georgia Honors Program IMPORTANT REQUIRED INFORMATION Have you already applied for admission to the University of Georgia? Yes No Have you been admitted to the University of Georgia for the Summer/Fall 2016? Yes No (students must be admitted to the University of Georgia prior to acceptance into the Honors Program) Are you currently or have you ever been enrolled at the University of Georgia as a joint enrolled or dual enrolled student? Yes No Intended Major(s): First Middle Last UGA ID Number Date of Birth Preferred Name *Your nine-digit UGA ID Number begins with 81 & was assigned shortly after completion of your UGA Admissions Application. It is available on the online status check at www.admissions.uga.edu Current Contact Information: Street Address City State Zip Code Email Address Telephone Number Cell Number Optional Biographic Information: Colleges and universities are asked by many entities to describe the racial / ethnic backgrounds of our students and employees. In order to respond to these requests, we ask you to please answer the following optional questions. Race / Ethnicity: (Check any and all that you identify with) Arab / Arab American Asian / Asian American / Pacific Islander Black / African American Caucasian / White (non-hispanic) Hispanic / Latino(a) Native American / American Indian Other (please specify): Parent/Guardian 1 Information: Gender: Male Female Native Language: English Other: National Origin / Tribal Affiliation (if applicable) Parent/Guardian 2 Information: Full Name Full Name Occupation Occupation Employer Highest Level of Education Employer Highest Level of Education The University of Georgia Honors Program 315 Moore College 108 Herty Drive Athens, GA 30602
I. Essay In the space below, please respond in no more than 5,000 characters to the following prompt: Wisdom is not a product of schooling but of the lifelong attempt to acquire it. Albert Einstein How has your education contributed to who you are today? The University of Georgia Honors Program 315 Moore College 108 Herty Drive Athens, GA 30602
II. Transcript Please attach a copy of your most up-to-date high school transcript. If this transcript does not include your first semester senior year grades, please plan to submit a grade report after those grades have been assigned. An unofficial copy is sufficient. This transcript is separate from that which is submitted with the general admissions application and electronic submissions via Georgia College 411 cannot be accepted. III. Teacher Recommendation Please include one letter of recommendation from one of your high school teachers. If possible, the recommendation should come from an academic teacher who instructed you in an AP, IB, Accelerated, Gifted, or Honors course. This recommendation is separate from that submitted with the general admissions application. The following guidelines should be shared with your chosen recommender. The applicant will supply the University with information about his or her curricular and extracurricular activities, accomplishments and honors. In a separate letter on your school s official letterhead, please provide a letter of recommendation on behalf of the student to assist our evaluation of his or her qualifications for the University of Georgia Honors Program. Please place your letter in a sealed envelope, sign your name across the envelope flap and return the envelope to the applicant to be sent with the application (make certain that the applicant s full name is on the front of the envelope). A student s completed application and supplemental materials must arrive under one cover to the University of Georgia Honors Program postmarked by February 1, 2016. Typed letters are preferred but not required. IV. Senior Year Class Schedule List the academic courses in which you are currently enrolled and/or plan to complete this year. Course Title Level (AP, IB, etc.) English Mathematics Social Studies/Social Science Science Foreign Language Art/Music Electives The University of Georgia Honors Program 315 Moore College 108 Herty Drive Athens, GA 30602
V. Academic and Testing Record GPA: Number of AP/IB courses: Please chose one: Weighted Unweighted Please list SAT I and/or ACT, SAT II, Advanced Placement (AP) or International Baccalaureate (IB) exams: English (ACT) Exam Composite / Total Math Critical Reading (SAT) Ex: ACT 33 33 35 Ex: AP Literature 5 VI. Honors and Awards List below any significant honors or awards you have received and insert an X to indicate the school year(s) that you were recognized. School Year(s) Earned 9 10 11 12 The University of Georgia Honors Program 315 Moore College 108 Herty Drive Athens, GA 30602
VII. Activities and Leadership In order of importance to you, please list and briefly describe your most significant time commitments outside of the classroom (i.e., school organizations, employment, fine arts, community service and/or athletics). Use an X to indicate the school year(s) in which you participated. School Year(s) of Participation Activity Focus of Activity, Leadership Position Held 9 10 11 12 In the space below, please indicate in no more than 2,000 characters which of your activities has been especially important or rewarding to you and explain why. The University of Georgia Honors Program 315 Moore College 108 Herty Drive Athens, GA 30602
VIII. Community Involvement In the space below, please provide in no more than 800 characters an example of how one of your activities has served to benefit a community in which you are involved. IX. Application Validation This application is accurate to the best of my knowledge. The thoughts and words expressed are my own. Any failure to comply with the best principles of academic integrity will result in my disqualification as a candidate for the University of Georgia Honors Program. Applicant s Signature: Date: (Electronic signature: By typing your signature on the line above you acknowledge your understanding of the above statements. Your signature also confirms that the information and work presented in this application is true and yours, not the work of someone else.) Checklist: Complete Honors Program application Essay Transcript Teacher Recommendation (limit one) (Applicants are encouraged to submit a letter of recommendation from an academic teacher who has instructed you in an AP, IB, Accelerated, Gifted, or Honors course.) Application Validation All required materials must arrive under one cover to the University of Georgia Honors Program postmarked by February 1, 2016 for consideration. Applicants will receive email confirmation once their completed application is received. Applicants will be notified of Honors Program decisions via email. All Honors decisions will be released by early April 2016. Meeting eligibility standards does not guarantee acceptance into the University of Georgia Honors Program. Mail to: The University of Georgia Honors Program 315 Moore College 108 Herty Drive Athens, GA 30602 All accepted first-year Honors Program students are required to complete and submit an enrollment form to the Honors Program. Enrollment forms must be received by no later than 5:00 PM May 1, 2016 in order to reserve their place in the Honors Program. Failure to do so may result in forfeiture of the student s position in the program. All accepted first-year Honors Program students are required to enroll in HONS 1000H: Introduction to Honors seminar. Failure to enroll and complete the HONS 1000H course during the Fall 2016 semester will result in dismissal from the program. The University of Georgia Honors Program 315 Moore College 108 Herty Drive Athens, GA 30602