Application for Admission (Honors Program)📄✨

Application for Admission (Honors Program)

Please complete the form with your personal and academic details to apply for admission.
Full Name*

First NameMiddle NameLast Name
Maiden Name
Preferred Name
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
E-Mail Address*
example@example.com
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Birth Date*

MonthDayYear
Date
YesNo
MaleFemaleNon-binaryOther
HispanicWhite, Non-HispanicBlack, Non-HispanicAsian or Pacific IslanderAmerican Indian or Alaskan NativeOther
MarriedSingleOther
FallSpringSummer ISummer II
High School Attended*
High School Graduation Year*
ACT or SAT Composite Score
On campusOff campus
YesNo
High School Grade-Point Average (on 4.0 scale)
Class Rank
Class Size (Total students in graduating class)
School Activities (Clubs, sports, chorus, band, etc.)
Other Extra-curricular and Volunteer Activities (community service, clubs, religious service, etc.)
YesNo
Hours completed
YesNo
Hours Completed at a College or University (excluding dual credit)
Likely Major or Field of Study at UPIKE
Likely Minor at UPIKE (if any)
Transcripts: Please upload a copy of your unofficial transcripts.

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Please upload an essay that responds to the following prompt

Leadership does not always require a title or formal position. Often, leadership shows up in everyday moments like standing up for others, taking responsibility, excelling in the classroom, or contributing to the community when it matters most. The Honors Program is grounded in three areas of excellence: Scholarship, Leadership, and Community. In a well-written essay of approximately 500–750 words, reflect on how your life experiences have shaped your approach to scholarship, leadership, and community. You may draw on experiences from the classroom, extracurricular activities, community service, work, or your personal life. How will these experiences shape the way you plan to contribute to the UPIKE Honors Program?
Essay:

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Please upload two reference letters that meet the following criteria:

Applicants are required to submit two (2) references. At least one reference must be from a teacher, professor, or employer/supervisor who can speak to your academic abilities, work ethic, or leadership potential. The second reference may be personal (e.g., mentor, coach, community leader) and should be able to provide insight into your character, motivation, or community involvement.
Reference 1 :

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Reference 2 :

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Should be Empty: