A copy of the information submitted below will be e-mailed to your honors program director or coordinator and to you.

Director/Coordinator Name

Director/Coordinator E-Mail

Your Last Name First Name Middle Initial

E-Mail Contact Phone

Mailing Address:

Number and Street

City State Zip

College Select HTCC College Allan Hancock American River Antelope Valley Cerritos Cerro Coso Chaffey Citrus City College of San Francisco College of San Mateo College of the Canyons College of the Redwoods College of the Sequoias Cypress East Los Angeles El Camino Evergreen Valley Foothill Fullerton Glendale Golden West Grossmont Irvine Valley Long Beach City Los Angeles City Los Angeles Harbor Los Angeles Mission Los Angeles Pierce Los Angeles Southwest Los Angeles Trade Tech Los Angeles Valley Los Medanos MiraCosta Modesto Moorpark Moreno Valley Mt. San Antonio Mt. San Jacinto Norco Orange Coast Pasadena City Rio Hondo Riverside City Sacramento City Saddleback San Bernardino Valley San Diego City San Diego Mesa San Diego Miramar Santa Ana Santa Barbara City Santa Monica Santiago Canyon Skyline Southwestern Victor Valley West Los Angeles West Valley Select your college from the dropdown menu.
If your college does not appear on the list, please contact HTCC at kathleen.sell@rcc.edu.

Major/Intended Career

For the following, enter only the latest available data.

Total transfer units completed: End of summer '09 End of fall semester '09

Total honors units completed: End of summer '09 End of fall semester '09

Transfer GPA: End of summer '09 End of fall semester '09

List of Courses in Progress at the time that you file this application (include all courses; indicate honors courses with an asterisk * )
Examples:
- Political Sciences 101 (Introduction to Political Sciences)
- English 101H* (Honors Introduction to Composition)

If application is filed before spring semester begins, list any honors courses that you plan to complete in spring semester.
Examples:
- English 101H* (Honors Introduction to Composition)
- Spanish 185H* (Honors Elementary Spanish)

Signature and Waiver:  By checking this box I affirm that the above information is complete and accurate to the best of my knowledge. If I am nominated, I understand that it will be necessary for the HTCC Scholarship Committee to review all information submitted in support of my nomination.. I agree that this be done and I authorize the HTCC to release my name and school affiliation for publicity purposes.