Southeastern Community College


SCC Honors Application

* denotes required information.

* First Name:

* Middle Name: If no legal middle name, please enter 'x'

* Last Name:

* Full Street Address:

* City:

* State:

* Zip Code:

* Home Phone: Please include your area code and enter only numeric digits. Example 3197522731

   Cell Phone: Please include your area code and enter only numeric digits. Example 3197522731

* E-mail:

* Confirm E-mail:

Note: International students should consult with the International Programs Specialist before applying.

PLEASE SELECT FROM ONE OF THE FOLLOWING:

ENTERING SCC FROM HIGH SCHOOL    ENTERING SCC AS COLLEGE TRANSFER    CURRENT SCC STUDENT


SCC From High School:

High School Attended:  

Graduation Date:    Please enter as mmddyyyy

High School GPA:    (3.5 minimum GPA requirement)

AP/Honors/Concurrent Enrollment Courses Taken: (Enter one class per row up to 12 rows.)

Which Campus Will You Attend:   West Burlington   Keokuk

Which Semester Will You Begin At SCC:  

Full or Part Time:   Full Time   Part Time

How Many College Credits Have You Earned   

College Transfer Student:

College Attended:       

College Cumulative GPA      (3.5 minimum GPA requirement)

Cumulative College Credit Hours Earned   

Honors Courses Taken: (Enter one class per row up to 12 rows.)

Which Campus Will You Attend:   West Burlington     Keokuk

Which Semester Will You Begin At SCC:  

Full or Part Time:    Full Time   Part Time

Currently enrolled at SCC:

Which Campus Will You Attend:   West Burlington   Keokuk

Program:

Cumulative GPA    (3.5 minimum GPA requirement)

Cumulative Credit Hours Earned   

 

 

For All Applicants:

Extracurricular/Community Activites (high school, college, community):

Academic Honors (high school, college):

Please write a brief description of why you want to be in the Honors Program, how it will help you,
and what you will bring to the Honors Program: