CCC Honors College Application V2022.1

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 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 *
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
Profile Essay *

Browse Files
Provide a 500-word profile essay in Microsoft Word or PDF format, using a doubled-spaced, 12-point font. 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. Clear
Recommendation Forms

To the student: Please have the individuals completing recommendations for you to use the recommendation form found on the Coahoma Community College Honors College website. These forms must be completed by the recommending party and submitted to japittman@coahomacc.edu in order for your application to be considered.
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: Michael Houston, 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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CCC Honors College Application

Directions:

Recommendation Forms

Notice of Non-Discrimination: