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Directory > Administration > Academic Affairs > Honors Program > Prospective Students > Honors Application
Honors Program Application
Last Name* First Name* Middle Name* Email Address Gender* Female Male Date of Birth (mm/dd/yyyy)* MSU M# (if known) Line 1* Line 2 City* State* Zip* Home or Parent's Phone Number* Student Cell Phone Number Father's Name Mother's Name High School* Graduation Date (mm/yyyy)* Proposed Major at MSU You must submit at least one standardized test score to be considered for acceptance. ACT English Math Composite SAT Verbal Math Composite Cumulative High School GPA* High School GPA Scale* Please list three extracurricular activities in order of importance to you. Activity Year Fr So Jr SrHours/Week Position(s) held Activity Year Fr So Jr SrHours/Week Position(s) held Activity Year Fr So Jr SrHours/Week Position(s) held Please list major awards and/or recognition you have received in your high school or community. Award Year Fr So Jr Sr Award Year Fr So Jr Sr Award Year Fr So Jr Sr Award Year Fr So Jr Sr 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: 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). FormBuilder contact form by Basem Emara
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