Clayton State University Logo
Clayton State University Honors Program

Honors Program Application Form

Students with less than 30 hours college credit

GENERAL INFORMATION
First Name
Last Name
MI
Address
City State Zip
Phone ( )
LakerID#
Email:

HIGH SCHOOL INFORMATION
School
Year of Graduation**
High School GPA*

SAT *

  
Total 
Verbal
Math

ACT *

  
Composite
English
Math
Science
Reading

REFERENCE
1. Name
  Title
  Address
  Phone
2. Name
  Title
  Address
  Phone
3. Name
  Title
  Address
  Phone

COLLEGE INFORMATION
When did you apply for admission to Clayton State University?
I have received acceptance.
I have attended another college or university.
 If yes, indicate institution
Number of hours completed*
Qtr/Sem, GPA
* Official records will be used when Clayton State University receives them. Please enter here for convenient reference.

SCHOOL AND COMMUNITY ACTIVITIES
Please indicate school & community activities; your role, office, etc.; and year:
1.
2.
3.
4.
5.
I have or expect to earn AP credit.
 If yes, please indicate

ESSAY
Why do you want to be in the Honors Program at Clayton State University? Be sure to address the following points: (a) describe what you can contribute to the Clayton State University Honors Program (b) explain how you think the program will benefit you.