Honors Program

First-Year Application for Fall 2011

Application Deadline is February 1, 2011
Print Form Reset Form

Legal Name (Last, First, Middle): SSN:

Preferred Name: High School:

Street Address:

City: State: Zip:

Phone: Email:

Date of Birth: Intended Major:

Father / Guardian Mother / Guardian

Name

Occupation/Title

Employer/Company

Highest Level of Education

Do you live with both parents? Yes No

If no, please enter the name of the parent/guardian with whom you live.

Do you have siblings? Yes No

If yes, how many and age(s)? Brothers Age(s) Sisters Age(s)

Ethnic Origin
Is English your first language? Yes No

Have you already applied for admission to UGA? Yes No

If so, how did you apply? Early Action Regular Decision

On approximately what date was Part I of your application submitted?

Page 1 of 4
1. Transcript: Attach a copy of your transcript. If this transcript does not include your first semester senior year
grades, please plan to submit another transcript after those grades have been assigned. An unofficial copy is sufficient.
The transcript must be sent to the Honors Program.

2. Teacher Recommendation: You will be required to have one teacher recommendation. The following guidelines should
be shared with your chosen recommender.

The applicant will supply the University with information about his or her curricular and extracurricular activities,
accomplishments and honors. In a separate letter on your school's official letterhead, please provide a letter of
recommendation on behalf of the student to assist our evaluation of his or her qualifications for the University of Georgia
Honors Program. Please place your letter in a sealed envelope, sign your name across the envelope flap and return the
envelope to the applicant to be sent with the application (make certain that the applicant's full name is on the front of the
envelope). The student must submit the completed application and supplemental materials postmarked by the dates outlined
on the first page of the application. Typed letters are preferred but not required.

3. Essay: On a separate sheet, write a one-page essay on the following topic:

French novelist Anatole France once stated, "It is better to understand little than to
misunderstand a lot." If accepted, what will you seek to understand better as a student
in the Honors Program at the University of Georgia?

4. Academic and Testing Record:

GPA unweighted: GPA weighted: Number of A.P. or I.B. courses

Highest scores: SAT Critical Reading SAT Math SAT Writing

ACT English ACT Math ACT Writing ACT Composite

Please list all SAT II, A.P., or I.B. exams you have taken and the score you received on each:

Test Score Test Score Test Score

Page 2 of 4
5. Senior Schedule: List the academic courses in which you are currently enrolled and/or plan to complete this year.

Course Title Level (AP, IB, etc.)

English

Mathematics

Social Studies/Social Science

Science

Foreign Language

Art/Music

Electives

6. Honors and Awards: List below any significant honors or awards you have received and the year that you were recognized.

School Year(s) Earned

9 10 11 12

7. Activities and Leadership: In order of importance to you, list and briefly describe your most significant time
commitments outside of the classroom (i.e., school organizations, employment, fine arts, community service and /or athletics).

Name of Activity Focus of Activity, Leadership Positions Held School Year(s) of Participation
9 10 11 12

In the space provided, indicate which of your activities has been especially important or rewarding to you and explain why.

Page 3 of 4
8. Community Involvement: In the space provided, please provide an example of how one of your activities has served to
benefit a community in which you are involved.

9. Application Validation: This application is accurate to the best of my knowledge. The thoughts and words expressed are
my own. Any failure to comply with the best principles of academic integrity will result in my disqualification as a candidate for
the University of Georgia Honors Program.

Applicant's Signature: Date:

Checklist:
Completed Honors Program application

Copy of high school transcript, including your first semester Senior year grades

Completed Honors essay

Completed Teacher recommendation (limit one)

All required materials must arrive at the University of Georgia Honors Program by the February 1 deadline for fall
2011 consideration.

Mail to:
Honors Program
University of Georgia
Moore College
Athens, GA 30602-6116
(706) 542-3240
Fax: (706) 583-5473
honors@uga.edu
Page 4 of 4