University Scholars – The Honors Program at WSU Vancouver WSU Vancouver Office of Academic Affairs 14204 NE Salmon Creek Avenue Vancouver, WA 98686 Telephone: (360) 546-9159 Email: [email protected] Application Form: Review of Priority Applications Begins March 30, 2015 PART ONE: (Please print) 1. Full Name: Last 2. WSU ID #: 4. Address: First Middle 3. Current GPA: _____________ Number and Street City 5. Telephone: 7. Number of remaining semesters you expect to be at WSU Vancouver: 8. Intended Major: State Zip Code 6. Email Address: 9. Anticipated Career: 10. List any academic honors you have received in high school or college: PART TWO: Essay Questions Please respond to the following: 1. What benefits do you expect to gain from participation in the University Scholars Honors Program? 2. Please choose one or two WSU Vancouver faculty members and review their websites. What about their work inspires you to consider pursuing an academic research project? Note: Review of Priority Applications Begins March 30, 2015 PART THREE: Recommendation Forms Completed recommendation forms from two faculty are required as part of the University Scholars Honors Program application process. *Select two faculty members, from WSU or another institution of higher education, who know your work well enough to assess your academic performance and potential to do scholars-level work. Complete the top portion of the University Scholar Recommendation Form as instructed, and then give it to a faculty member from whom you seek a recommendation. The recommending faculty member will return the form directly to the University Scholars Honors Program. Letters of recommendation have been requested from: 1. Name Institution Email Phone Number Name Institution Email Phone Number 2. *Please note: At least one recommendation must be from a faculty member at your current institution. Note: Review of Priority Applications Begins March 30, 2015 University Scholar Recommendation Form Note: Review of Priority Applications Begins March 30, 2015 To the Student: WSU Vancouver University Scholars Honors Program Office of Academic Affairs 14204 NE Salmon Creek Avenue Vancouver, WA 98686 Telephone: (360) 546-9159 Email: [email protected] Complete the information in this box and give the form to the faculty member from whom you are seeking a recommendation. Please remember that at least one recommendation must be from a faculty member at your current institution. Student Name: ________________________________________ WSU ID #: ___________________________________________ Sign below ONLY if you wish to waive your rights. Under the provisions of the Family Educational Rights and Privacy Act, I waive my right to access this letter: ____________________________________________________ Signature Date To the Faculty Member: We would appreciate your candid evaluation of this student. Please complete this form and return it to the Office of Academic Affairs, VDEN 200S, for the faculty committee review. In comparison to other students, I would rate this candidate as: Exceptional Above Average Average Written expression Oral expression Potential for conceptualizing a meaningful research problem Potential for conducting an original undergraduate research problem Initiative/independence Enthusiasm for intellectual pursuits Creativity Work Habits Integrity Note: Review of Priority Applications Begins March 30, 2015 Below Average No Basis for Comparison Recommender’s Comment: Please provide us with an assessment of this student. Include the ability to initiate and conduct academic research under the guidance of a faculty member, and any other special qualities about which you think the committee should know. Recommender’s Signature: Signature Printed Name I recommend this applicant: Very Strongly Strongly Date Title Telephone Number Adequately With Reservations Length of acquaintance with applicant: Note: Review of Priority Applications Begins March 30, 2015