HONORS PROGRAM APPLICATION

ACC Honors Program - Accepting Applications!
HONORS PROGRAM APPLICATION
Name*

First NameLast Name
Address*

Street Address

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
I AM A...*

StudentRecommender (recommending a student)
Date of Birth:*

MonthDayYear
Date
Are you currently a high school senior?*

YesNo
Which of the following eligibility criteria do you satisfy? (check all that apply) *Supporting documentation will be retrieved from ACC Admissions*

High school GPA of 3.25 on 4.0 point scaleSAT score of 1100ACT of 26None of the Above
NOTE: If you do not meet the minimum eligibility requirements, you may still apply to the Honors Program. Final determination will be made by the Honors Council. If you do not meet any of the above criteria, please tell us why you feel qualified to join the Honors Program:
Last High School or College attended: *
Graduated or End Date:*
[2-digit month/ 4-digit year])
Please list past Honors or Awards you've received:
Which of the following extracurricular activities have you participated in? (check all that apply):

Academic ClubAthleticsChurch-Related ServiceCommunity ServiceFFAPerforming ArtsWork ExperienceOther
Tell us more about the extracurricular activities you checked above:
PERSONAL STATEMENT : Personal statements should be a minimum of 500 words and must be uploaded as a Word or PDF attachment. In your statement, please tell us why you want to join the ACC Honors Program. ATTACH YOUR PERSONAL STATEMENT HERE:*

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Letter of Recommendation (REQUIRED)*

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NOTE: If a recommender wishes to submit a letter directly, they may email it to the Honors Program Director at jbrazil@alvincollege.edu. Please submit the name and contact info for the recommender as an attachment to complete the required field.
CERTIFICATION & SUBMISSION: By checking the box below, I agree to the following:*

I certify that the information I have given is true to the best of my knowledge.I authorize the Office of Admissions & Records to release pertinent information, including transcripts and test scores, to the Honors Program Office.
NEED HELP OR HAVE QUESTIONS?

FOR MORE INFORMATION, CONTACT:

Jennifer Brazil
Honors Program Director
Office: G-114
Phone: 281.756.3625
Email: jbrazil@alvincollege.edu
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ACC Honors Program - Accepting Applications!

HONORS PROGRAM APPLICATION