Application to Graduate with Honors from Calvin College
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(NOTE: You must return this form with department signatures to
Prof. Ken Bratt, Honors Director, by February 15 of your senior year)

Name _____________________________________________________
(as you wish it to be engraved on the medallion)

ID Number ___________________________
(asasas(as you wish it to be engraved on Address____________________________________________________

Phone #____________________E-mail:________________________

Hometown________________________________________________

Cumulative GPA:_________ Graduation date:___________________

Honors Major (complete two sheets for a double major):
_________________________________________________

Other major(s) or minor(s)___________________________________

HONORS COURSES COMPLETED (or in progress - label these IP):
(For each course please state the Course Number & Title, Credit hours, Semester & Year, and Grade)
(Reminder: Interim courses graded "H" do not count toward graduation with honors.)

1.

2.

3.

4.

5.

6.

(Use the back of this sheet for any additional honors courses)

Please describe any special honors projects or papers, and any special awards or research experience with professors in the last two years. (This information is for the short "bio" printed with your picture in the Honors Convocation program. Please continue on the back or on another sheet if necessary.)

Current plans for after graduation:

SIGNATURES:

Dept. Advisor:
____________________________________________ Date: _________

Dept. Chair:
____________________________________________ Date: _________

Honors Program Director:
____________________________________________ Date: _________