Austin Community College Honors Program General Application

Personal Information

First Name *

Middle Initial *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

ACCeID *

ACCMail *

Area of Study or Program *

Date of Birth * +

Race/Ethnic Group

Note: The following question is optional and is used for statistical purposes only.

Are you currently enrolled in high school? *

Yes

No

Select the entrance qualification that you have met. * denotes required proof of qualification. *

Top 15% of high school graduating class

SAT score of 1170*

ACT score of 26*

High school GPA of 3.5 on 4 point scale*

ACC or other college GPA of 3.25 (After completion of 9 or more credit hours, non-ACC transcripts required)

College(s) Attended Please specify dates attended. *

What Honors courses are you interested in taking? *

How did you hear about the ACC Honors Program?

By checking the boxes below, I agree to the following:

All boxes MUST be checked in order for your application to be complete.

*

I agree to maintain satisfactory academic progress as outlined in the ACC Honors Membership Criteria.

I authorize the Office of Admissions & Records to release my grades to the ACC Honors Program Office.

I authorize the Office of Admissions & Records to release pertinent information to the ACC Honors Program Office.

I certify that the information I have provided is correct and accurate to the best of my knowledge.

Confirm Today's Date * +