NAME
Last First Middle Initial KCC STUDENT ID NUMBER
ADDRESS
Street City State Zip
PHONE
Home Cell E MAIL DATE OF BIRTH (Month /Day/Year)
APPLICATION
The Honors Program offers academically-talented students an alternative way to complete general education requirements. Honors Program
students have unique opportunities for academic challenge as well as interaction with other motivated students and Honors faculty through
courses, service-learning, and fellowship activities. The Honors Program promotes leadership and fosters partnerships and mentoring be-
tween students, faculty, and staff.
VERIFY ELIGIBILITY (select one of the following and attach documentation)
High School Students —
High school GPA of 3.5 or higher and a minimun of ACT of 24 or SAT of 1160
Current KCC Students —
Minimum, cumulative GPA of 3.5 and 12 completed college-level credits
Transfer Students —
Combined transfer GPA of 3.5 or higher and 12 completed college-level credits
I plan to join the Honors Program in:
Fall (Aug./Sept.) 20 Spring (Jan.) 20 Summer (May) 20
PROGRAM OF STUDY
Certificate Occupational Transfer
Program of Study Program Code Catalog Year
Projected KCC graduation date
KELLOGG
COMMUNITY COLLEGE
HONORS
PROGRAM
I certify that all of the answers in this application are complete and accurate to the best of my knowledge. I understand that falsifying any part of this application may
result in denial of admission.
Signature Date
FOR OFFICE USE ONLY
Pending letter – Date sent Probation letter – Date sent
Acceptance letter – Date sent Removal letter – Date sent
SUBMIT TO: Integrative Learning Department located Social Science offices, Severin Building, Battle Creek North Avenue Campus
honorsprogram@kellogg.edu