CCC Honors College Application FINAL

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 you have already sent them, it is not necessary to send a second copy.
Email Address *
Please enter a valid email address; all status updates regarding your application will be sent to this address.
Student Name *

First Name Middle Name Last Name

Student Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

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 Date Picker Icon
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. Date Picker Icon
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 *

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Provide a 500-word profile essay in Microsoft Word or PDF format, using a doubled-spaced, 12-point font. Cancel of
Recommendation Letter #1 *

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Attach the first of two required recommendation letters. This one should be from a community leader. Cancel of
Recommendation Letter 2 *

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Attach the last required recommendation letter. This one should be from an individual at your school or college familiar with your activities and your academic ability. Cancel of
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:

Notice of Non-Discrimination: