CCC Honors College Application
"On a Mission..."
Directions:
Instructions: Complete all items on this application as incomplete applications will not be accepted. Be certain to attach the two required letters of recommendation and the personal profile essay. Applying to the Honors College program is separate from applying to the college. If you have completed an application for admission to Coahoma, be sure you have submitted a copy of your high school transcript and your most recent ACT or SAT score report to the Honors College. If your most recent ACT or SAT score has been submitted to the college, it is NOT necessary to submit a second copy.
Email Address
*
Please enter a valid email address; all status updates regarding your application will be sent to this address.
Cell Phone Number
*
-
Area Code
Phone Number (If you don't have a cell phone number, enter 000-000-0000)
Student Name
*
First Name
Middle Name
Last Name
Student Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
SSN 4 Digits / CCC Student ID Number
*
Prospective Coahoma students, enter the last four digits of your Social Security Number. Current Coahoma students, enter your student ID number.
Date of Birth
*
/
Month
/
Day
Year
Date
Semester to Join the Honors Program
*
Fall 2024
Spring 2025
Fall 2025
From the drop down list, enter the semester of desired entry into the honors program.
ACT Composite Score
*
Enter your ACT Composite Score. The Honors College Requires a 20 or better on the ACT to participate in the program.
SAT Combined Score
If you took the SAT, enter your combined score here.
High School Attended
*
Enter the name of the high school you attended.
High School Graduation Date
*
-
Month
-
Day
Year
Enter the date of your high school graduation. If you are currently in high school, enter your prospective high school graduation date.
High School GPA
*
Enter your grade point average from high school.
Prior College Attended:
*
If you have never attended a college prior to the date of this application, enter N/A.
Number of Credit Hours Earned:
*
If you have never attended a college prior to the date of this application, enter 0.
Cumulative College GPA
*
If you have never attended a college prior to the date of this application, enter 0.00
Skills/Experience Profile: Indicate which skills and/or experience you currently possess. This question helps to better understand you as an applicant to this program. Use the Other box to enter skills you might have that aren't listed.
*
Presentation
Organizing
Advocacy
Research
Event Planning
Photography / Videography
Paid Work
Other
Profile Essay
*
Browse Files
Please submit a typed essay of at least 500 words explaining why you would like to be a member of the Honors Program. The essay may address any reasons you have, but it should explain why you are interested, how your interest relates to your future plans, and why you think being in the program would enhance your academic experience. This essay should be in your own words. All paraphrases or quotes need to be cited. *Please take great care in writing your essay. It will be given serious consideration.
Cancel
of
Signature
*
By signing above, I certify that the information in this application is true and correct. Additionally, I give permission to Coahoma Community College to verify the information in this application.
Recommendation Forms
To the student: Please enter the name, title, and email address of the individuals which will complete your required recommendations. After providing this information, these individuals will receive an email requesting completion of the recommendation form.
Community Leader Name
*
First Name
Last Name
Community Leader Email Address
*
example@example.com
Community Leader Job Title
*
Teacher / Educational Professional Name
*
First Name
Last Name
Teacher / Educational Professional Email Address
*
example@example.com
Teacher / Educational Professional Job Title
*
Submit
Print Form
Notice of Non-Discrimination:
Coahoma Community College is an equal opportunity institution in accordance with civil rights and does not discriminate on the basis of race, color, national origin, sex, disability, age, or other factors prohibited by law in any of its educational programs, activities and employment opportunities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Taneshia Turner, Director of Human Resources/Coordinator for 504/ADA, Title IX Compliance Officer, Office #A100, Vivian M. Presley Administration Building, 3240 Friars Point Road, Clarksdale, Mississippi 38614, Phone: (662)621-4853, Email: mhouston@coahomacc.edu.
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