| Last Name: |
_______________ |
First Name: |
_______________ |
| Middle Name: |
_______________ |
Student ID: |
_______________ |
| Oahu Address: |
_______________ |
City: |
_______________ |
| Zip: |
_______________ |
Phone: |
_______________ |
| Permanent Address: |
_______________ |
City: |
_______________ |
| State: |
_______________ |
Zip: |
_______________ |
| Phone: |
_______________ |
E-Mail: |
_______________ |
| School or College: |
__________________________ |
| Class: |
__________________________ |
| Major: |
__________________________ |
| Probable Graduation Date: |
_______________ |
| What prompted this application? |
_______________ |
| If "Other" selected, list
reason here: |
_______________ |
| I will ask the following faculty members
for recommendations: |
| 1. _______________________________________________
|
| 2. _______________________________________________
|
| 3. _______________________________________________
|
If you have questions or need more information, stop by Sinclair
504-B, call 956-8391 or contact us at honors@hawaii.edu.
