Counselor Form
Academy Dates: June 6 - 27, 2020

Information below must be completed by a high school counselor.
Please email a high school transcript to msu.cha@murraystate.edu

This form must be completed no later than March 1, 2020.
Email address *
Student Name *
Your answer
Student School *
Your answer
Qualifying Tests
Check qualifying test(s) and provide all subscores, composite scores, and percentiles.
Date Taken
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Composite
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Percentile
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English
Your answer
Math
Your answer
Reading
Your answer
Science
Your answer
Date Taken
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DD
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YYYY
Composite
Your answer
Percentile
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English
Your answer
Math
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Reading
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Science
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Date Taken
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Selection Index
Your answer
Percentile
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Evidence-Based Reading and Writing
Your answer
Math
Your answer
Date Taken
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YYYY
Percentile
Your answer
Evidence-Based Reading and Writing
Your answer
Math
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Math
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Reading
Your answer
On-Demand Scores
Your answer
High School Grade Point Average *
Applicant's GPA is:
Your answer
*
based on a ___ scale:
Your answer
Scale is *
High School Conduct *
Is this student on record (during the past two years) for any disciplinary infractions in violation of school policy or civil/criminal law?
* (If yes, please send a copy of the documentation to msu.cha@murraystate.edu.)
Please describe any conduct or problematic behavior(s) that might impact this applicant's ability to handle the social, residential, and academic demands of the Commonwealth Honors Academy. *
Your answer
Guidance Counselor's Name: *
Your answer
Phone: *
Your answer
Email Address: *
Your answer
Date: *
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Introduction to the Commonwealth Honors Academy
The Commonwealth Honors Academy (CHA) is a challenging three-week academic enrichment program for outstanding high school students who have completed their junior year and will return to high school as a senior in the fall following the Academy.

Students will be selected from the Commonwealth and surrounding region, including but not limited to, Missouri, Illinois, Indiana, Ohio, Tennessee, and Alabama. Upon successful completion of the Academy, students will

* receive six hours of honors-level university credit.

* have the opportunity to take six hours of tuition-free university courses at Murray State University during the subsequent academic year.

* be awarded a four-year, renewable $2,000 on-campus housing scholarship to attend Murray State University.


The Academy differs from the traditional high school in its approach to learning and in the creation of a living-learning community. CHA offers students a chance to know and make friends with other enthusiastic, energetic students with high intellectual capacities. The interaction of students with different backgrounds is one of the most valuable aspects of the Academy.

The Academy provides students, faculty and staff with an opportunity to share the joy of discovery and to exchange ideas in a warm community atmosphere. Supportive secondary and university faculty chosen from the region work closely with the students in classes, seminars, and extracurricular activities. Outstanding college men and women serve as residential counselors to provide leadership, friendship, and encouragement to the students. Exceptional speakers, performers, films, interesting field trips, special events and recreational experiences offer students an array of stimulating activities that provide fun and enjoyment, as well as learning opportunities.

There is no cost to students except for a $195 tuition processing fee.* In addition, students are responsible for personal articles, snacks, and incidental expenses.

*Fee waived for students receiving free or reduced student lunch, or ACT Fee Waiver.
Mission
The mission of the Commonwealth Honors Academy is to challenge, educate, enlighten, and nurture the next generation of civic, academic and business leaders of the region.
Theme
"Growing into Ourselves" has been chosen as the theme for the 2020 Commonwealth Honors Academy.
Academic Program
The Commonwealth Honors Academy is offered with the firm conviction that one of the greatest resources of this region is its academically talented young people. The Academy seeks to reward excellence, broaden horizons, and expand vision. Its academic program stresses the development of each student's critical thinking abilities, adaptability, creativity, and self-confidence. In the Academy, teachers and students deal with the conceptual, historical and philosophical tenets of human knowledge. Students have opportunities through independent effort to develop their personal and intellectual skills under expert supervision.
Courses
Students take two honors-level college courses while at CHA.

* All students are enrolled in an interdisciplinary humanities and fine arts course. This course develops the Academy's theme, drawing material from one of the traditional humanities (e.g., history, literature, philosophy) and one of the Fine and Performing Arts (e.g., music, visual arts, theatre).

* In addition, each Academy student is enrolled in an elective course; subjects will vary according to the faculty members hired. Students selected will be given a chance to indicate their preferences for the available electives, and the Academy will attempt to match students with their top preferences. Each elective course will address the theme of the Commonwealth Honors Academy from its own perspective.

NOTE: Both Academy courses will be graded using a standard collegiate grading system 90-100% = an A, 80-89% = a B, etc.
Personal Development Seminar
Each student participates in a seminar focused on issues related to personal and social development. In small group discussions, students explore topics relevant to their lives such as interpersonal communication, family and peer relationships, choosing a university and the relationship of the program's theme to their own lives.
Student Life
A rich, diverse range of recreational opportunities, cultural and artistic events, field experiences, distinguished speakers and classroom guests will enhance the academic curriculum. Faculty members and residential counselors participate in enrichment activities with students.

Commonwealth Honors Academy students live in a residential college with separate quarters for men and women. Outstanding, experienced, well-trained, and supervised residential counselors provide guidance and supervision. Students learn about themselves and others as they experience what it means to become a community. They develop meaningful friendships, even in the few weeks they live and learn in the Academy.
Application Requirements
All students applying for the Commonwealth Honors Academy should possess the following characteristics:

* have earned approximately a 3.5 GPA (on a 4-point scale).

* have earned approximately a 25 Composite ACT (or the equivalent PSAT, SAT, ACT-Aspire, or standardized test score).

* be at least 16 years old, prior to the beginning of the Academy.
Academy Expectations
Since community building is central to a student's experience in the Academy, there is an overriding philosophy of freedom coupled with responsibility that permeates student daily life.

Law, safety and common concern for the total community govern the program's few regulations.


1. Willful behavior that is consistently abusive or demeaning to other members of the community, or that interferes with the academic or enrichment goals of the Academy, will not be tolerated.

2. Student automobiles or other vehicles (including bicycles and skateboards) are prohibited, as is riding in unauthorized vehicles, or leaving campus for unauthorized trips.

3. Drugs, including alcoholic beverages, are not allowed.

4. Criminal behavior, such as deliberately pulling fire alarms, activating sprinklers, or bringing firearms to campus, is not tolerated.

5. Willful behavior that is potentially harmful to the individual or community is prohibited.

6. No open flames are allowed inside buildings (e.g., candles, incense burners, lighters, matches, etc.)


All of these regulations will be firmly enforced. A student will be dropped from the Academy and sent home for violation of any of these regulations. The student's school will be notified and no university credit will be awarded.
A copy of your responses will be emailed to the address you provided.
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