Download Register for 2016-17

HONORS PROGRAM REGISTRATION FORM
for Academic Year 2016-2017
(RETURN TO THE DEAN OF THE COLLEGE BY December 15, 2016)
Name (Last, First, Middle name or initial if requested on certificate) Click here to enter text.
Major(s) Click here to enter text.
Minor(s) Click here to enter text.
Honors Department(s): Please check appropriate box. (In case of interdepartmental projects, two department
names are required.)
☐African American and Africana
Studies
☐American Studies
☐Anthropology & Sociology
☐Anthropology
☐Sociology
☐Art
☐Biochemistry & Molecular Biology
☐Biology
☐Business & Economics
☐Chemistry
☐Classics
☐Greek
☐Latin
☐Dance
☐East Asian Studies
☐Education
☐English
☐Environmental Studies
☐Exercise & Sports Science
☐Film Studies
☐Gender & Women’s Studies
☐History
☐Interdisciplinary
☐International Relations
☐Mathematics & Computer Science
☐Computer Science
☐Mathematics
☐Media & Communication
Studies
☐Modern Languages
☐Chinese
☐French
☐German
☐Japanese
☐Spanish
☐Music
☐Neuroscience
☐Philosophy & Religious Studies
☐Philosophy
☐Religious Studies
☐Physics & Astronomy
☐Politics
☐Psychology
☐Theater
☐Other Click here to enter text.
Title of honors project: Click here to enter text.
Description of project: Click here to enter text.
TO BE COMPLETED BY FACULTY PROJECT ADVISER(S): (In the case of interdepartmental projects, two
signatures are required.)
I agree to serve as adviser for this project.
____________________________________________ ___________________________________
(signature)
(print name)
____________________________________________ ___________________________________
(department)
(date)
____________________________________________ ___________________________________
(signature)
(print name)
____________________________________________ ___________________________________
(department)
(date)
TO BE COMPLETED BY DEPARTMENT CHAIR(S):
1. Certification of GPA eligibility: for honors and for Interdisciplinary Honors.
A Cumulative GPA of 3.5 or higher is required, based on last 4 semesters. For
interdisciplinary honors, GPA eligibility may be certified by the Department Chair of
either department.
Cumulative GPA________ (calculated on last four semesters)
______________________________
(department chair signature)
2.
_____________________
(department)
_____________
(date)
Department approval. All prerequisites (including course work) for Honors have been
completed. The candidate meets the eligibility requirements and has been approved by
the department as a candidate for departmental or interdepartmental honors. In the
case of interdepartmental projects, two signatures are required.
______________________________
(signature)
_____________________
(department)
_____________
(date)
______________________________
(signature)
_____________________
(department)
_____________
(date)
(RETURN TO THE DEAN OF THE COLLEGE BY December 15, 2016)