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DOWNLOADS AND FORMS

Honors Student Handbook

Honors Program Application Form

Program Graduates Intent to Complete Form

Community Service Form
MSWord | PDF |

Honors Contract Guidelines:
HTML | MSWord | PDF |

Exemplars of Honors Contracts:
  Non-traditional Contract
  Traditional Contract exemplar 1
  Traditional Contract exemplar 2

Honors Contract Form:
PDF |

Research Paper Guidelines
HTML | 

Student Nomination Form


Honors Symposium/HTCC Application

HTCC Transfer Agreements






honors seal




HONORS PROGRAM APPLICATION

Honors application deadline for the fall 2017 is the end of the fourth week of the semester


 
  Date Submitted:
*

Last Name:
*

First Name:
*

Middle Name / Initial:


Chaffey Student ID Number (if available):




Mailing Address

Street:
*

City:
*

State:
*

Zip Code:
*



Chaffey E-mail Address:
*


Phone (include area code):
*

Alternate Phone (include area code):




Permanent Address
(If different from Mailing Adress, please enter below)

Street:


City:


State:


Zip Code:




How did you find out about the Honors Program?





 
CHAFFEY STUDENTS

 
 

HIGH SCHOOL STUDENTS

Please submit an unofficial high school transcript to the Honors Program office on the Rancho campus.

  Current GPA:


AP Classes:



 
 
MAJOR & TRANSFER COLLEGES

  Intended Major:


Colleges to which you might transfer:


Chaffey College Honors Program has articulation agreements with Azusa Pacific, CSU Fullerton, Chapman, Pitzer, Pomona, San Diego State, UC Berkeley, UCI, UCLA, and Whitman.

By submitting this form the applicant gives permission for their name and address to be shared with these schools.


 
 
Interest Statement

Please type a paragraph to indicate why you wish to participate in the Chaffey College Honors Program. Cite other activities that you consider significant to your development, i.e., leadership skills, community service and activities, academic achievements, artistic achievements, etc.

*



Additional comments or information relevant to this application:




 
   * Required Fields
 
 

 


 
 






Honors Program Staff

Ryan Falcioni
Co-Director

Julie Song
Co-Director

Dotty Nevarez
Administrative Assistant II

Committee Members

Ardon Alger
Kevin Cameron
Monica Carter
Sean Connelly
Leona Fisher
Anthony Guaracha
Melissa Harman
Laura Hope
Bonnie Khaw-Posthuma
Michele Jenkins
Richard May
Marc Meyer
Robert Nazar
Jean Oh
Cynthia Parker
Cory Schwartz
Susan Starr
Carrie Veazey
Dan Loomis
Celeste Mor



PROGRAM CONTACTS


honors.program@chaffey.edu
dorothy.nevarez@chaffey.edu

909-652-6263

SSA-122


Rev. 2/15/18


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