The Honors College at Eastern Michigan University
Honors Experience Form
IMPORTANT:
If you are uncertain if your experience will qualify, you need to have an Honors College
staff member pre-approve and sign your Honors Experience Form.
If you do not receive pre-approval, there is no guarantee your Experience will be counted
toward your requirements.
You are REQUIRED to submit a one-page (minimum) reflection paper describing your
Honors Experience. Your Form will NOT be accepted without an attached reflection paper.
Supervisor’s Printed Name Title and Organization
Supervisor’s Signature Date
PRE-APPROVAL
Honors College Staff Member Signature Date
Student Name (printed):
Student Signature:
EID:
Experience Description:
Return to: The Honor s College OR Email to: emuhonor s@emich.edu
511 W. Forest Ave
Eastern Michigan University
DIRECTIONS:
When you have completed your Honors Experience, have your supervisor sign the Experience
Form. Then, return the original copy to The Honors College and keep a copy for your records.
Fall 2016—Winter 2017
Emich Email:
University
Which type of Honors will this experience be applied toward?
Check all that apply.
(If for University Honors, Type of Honors Experience—circle one)
Leadership/Civic Engagement Intellectual/Cultural Highest
