Honors Program Application
Personal Information
MSU M Number
(if known)
Your answer
Full name
Last, First, Middle
Your answer
Email address
Your answer
Gender
Date of Birth
MM/DD/YYY
Your answer
Home Mailing Address
Number and Street/Apartment Number
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Country
Your answer
Other Information
Home or Parent's Phone Number
Your answer
Student's cell number
Your answer
Father's name
Your answer
Mother's name
Your answer
High School
Your answer
Date of High School Graduation
MM/DD/YYYY
Your answer
Proposed major at MSU
Your answer
Test Scores
You must submit at least one standardized test score to be considered for acceptance.
ACT English
Your answer
ACT Math
Your answer
ACT Composite
Your answer
SAT Verbal
Your answer
SAT Math
Your answer
SAT Composite
Your answer
High School GPA and Class Rank
Cumulative High School GPA
Your answer
High School GPA Scale
Your answer
Class Rank
Your answer
Out of
The total number of graduating seniors at your High School
Your answer
Race/Ethnicity
Race/Ethnicity: Requested to insure equal admission opportunity. Completion of this section is voluntary.
What is your Race/Ethnicity?
Extracurricular Activities
Please list your major extracurricular activities in order of importance to you, along with any particulars you feel will help the committee understand your participation. Please also detail how long you were engaged in each extra-curricular activity.
Extracurricular Activites
Your answer
Awards
Please list major awards and/or recognition you have received in your high school or community, along with when you received those awards
Awards
Your answer
Leadership
Please list leadership or officer positions, if any, you held in high school.
Leadership
Your answer
Essay
Please type a short essay discussing why you want to be in the Murray State Honors Program and why you think it would be beneficial to your education. The essay may be no more than 300 words.
Why do you want to be in the Murray State Honors Program and why do you think it would be beneficial to your education?
Your answer
Applicant Agreement
I understand giving false information on this application will render me ineligible for admission to the Murray State University Honors Program. I also understand that the Honors Program Director and/or his designee have the right to review transcripts, ACT Scores, and other admission information submitted by me to the Murray State University Admissions and Registrar's Office. You must check this box for your application to be reviewed.*
Non-Discrimination Policy Statement
Non-Discrimination Policy Statement: Murray State University endorses the intent of all federal and state laws created to prohibit discrimination. Murray State University does not discriminate on the basis of race, color, national origin, gender, sexual orientation, religion, age, veteran status, or disability in employment, admissions, or the provision of services and provides, upon request, reasonable accommodation including auxiliary aids and services necessary to afford individuals with disabilities equal access to participate in all programs and activities. For more information, contact the Director of Equal Opportunity, 103 Wells Hall. 270-809-3155 (voice), 270-809-3361 (TDD).
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