08/18
HONORS PROGRAM
APPLICATION for Admission to the Honors Program
*NOTE – If you are a new BRCC student (whether recently graduated from high school or a Non-Traditional
Student), you must provide the documentation (high school transcript or other documents) required as listed on the
Honor’s Program General Information Sheet.
Applicant’s (FULL) Name ___________________________________________________________
EMPLID # ______________________
Address ___________________________________________________________________________
City ________________________________ State ________________ Zip_______________
Telephone ____________________________________
EMAIL _________________________________________________________
Program of Study _________________________________________________
Cumulative GPA _________ As of (Date) ____________________________________________
# Total Hours Completed _________ As of (Date) ____________________________________________
You will need the approval of two (2) Faculty members who are familiar with your academic work and who
recommend you for the Honors Program. If newly enrolled from high school, you may use past teachers.
Faculty Member’s Signature: _______________________________________ (date) _________________
Faculty Member’s Signature: _______________________________________ (date) _________________
I agree that all of the information listed above on this application is true to the best of my knowledge. I also allow an in-
house copy of my BRCC transcript to be sent to the Honors Program Director as needed.
Student Applicant’s Signature: _______________________________________ (date) ________________
Office Use Only – Do Not Write Below
_____ APPROVED / DATE ________ _____NOT APPROVED / DATE _____
(Return to Dr. Reid Harris, J-123, 453-0244, Harrisr@brcc.edu)
