University of Washington



Undergraduate Honors Program Application Packet

For consideration, each application packet must include:

1. A completed SPHSC Honors Program application

2. Personal statement of approximately 500 words

3. Two writing samples (in English)

4. An unofficial UW transcript

5. Petition statement IF the applicant has a cumulative GPA lower than 3.5

A copy of the entire application packet must be submitted to each prospective faculty mentor

during “Honors Applicant Interview Week” (first week of Spring quarter)

SPHSC Honors Program Application

APPLICANT INFORMATION

Student Name Student #

Current / Local Address

Street

City and State Zip Code

UW Email __________________________________ Phone ( )_________________________

Quarter and year you wish to enter the Honors program

□ Summer 20_________ ( Autumn 20________

ACADEMIC INFORMATION

Please list all colleges attended, including the UW.

|College/University |Dates Attended |Major |Degree Awarded or In Progress |GPA |

|University of Washington | |Speech & Hearing Sciences |Bachelor of Science | |

| | |(SPHSC) | | |

| | | | | |

| | | | | |

Please identify which SPHSC Major track you are currently pursuing:

□ Option 1: SPHSC General Academic

□ Option 2: SPHSC Pre-Professional

Please identify which courses you have completed within the SPHSC major and the grade received.

|COURSE |GRADE | |COURSE |GRADE |

|SPHSC 250 | | |SPHSC 371 | |

|SPHSC 261 | | |SPHSC 405 | |

|SPHSC 302 | | |SPHSC 406 | |

|SPHSC 303 OR | | |SPHSC 425 | |

|LING 200 | | | | |

|LING 400 | | | | |

|ANTH 203 | | | | |

|SPHSC 304 | | |SPHSC 445 | |

|SPHSC 305 | | |SPHSC 461 | |

|SPEHC 308 | | |SPHSC 471 | |

|SPHSC 320 | | |SPHSC 481 | |

Please list any other completed SPHSC courses not listed above

Please identify any other majors you are currently pursuing

ACTIVITIES AND INTERESTS (school and outside interests)

WORK EXPERIENCE

Please list your employers, titles, and dates of employment.

VOLUNTEER EXPERIENCE

Please list any school or community volunteer experiences.

SCHOLARSHIPS, AWARDS & HONORS

Please list any merit scholarships, presentations, memberships, awards, etc.

RESEARCH INTERESTS

Describe the area(s) in which you would like to pursue research for the honors program.

ATTACHMENTS

□ Personal statement

□ Two writing samples (in English)

□ An unofficial UW transcript

□ Petition statement IF the applicant has a cumulative GPA lower than 3.5

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