Application to Take Honors Credit Courses
Please print the following information clearly.

Name       ______________________________________    Student I. D.________________
Address   ______________________________________     Phone_____________________
City         ________________ State _____ Zip Code ____     E-Mail_____________________

PART A: To be completed by current NOVA students.

1. Number of credit hours taken at NOVA: ________ Current GPA: _______________
2. Program Placement (if any): ____________________________________________
3. Alexandria faculty members (list two) who will recommend you for Honors:
    _______________________________    ________________________________

PART B: To be completed by applicants not currently enrolled at NOVA.

1. High School Attended:  _______________________________________________
2. High School Class Standing: Top _______ % of class. Year graduated: ___________
3. SAT Scores: Verbal __________ Math _________ Year Taken: _______________
4. Scores on the English Placement Exam: Reading__________ Writing ____________
5. If you have taken college courses, name of college(s):   _______________________
    _________________________________________________________________
6. Credit Hours earned: ________ GPA: __________

PART C: To be completed by all applicants:

1. Do you intend to seek a degree from NOVA? _________ Which degree? ______________
2. If so, what is your intended major, if known? ____________________________________
3. Do you plan to transfer to a four-year college after NOVA? _________
4. To what college (if known)? __________________________________

This application may require an interview with one of the following persons: Robert Brunner, Coordinator of the Honors Program, or Majorie Kinnaman, the Honors Counselor for the Humanities and Social Sciences. Mr. Brunner can be reached at 703-845-6047 or at rbrunner@nvcc.edu, and Ms. Kinnaman at 703-845-6237 or mkinnaman@nvcc.edu. Their offices are in room AA252, the Humanities and Social Sciences Division. If you cannot appear for an interview, please send this application to Robert Brunner, Coordinator of the Honors Program, Northern Virginia Community College, 3001 N. Beauregard St., Alexandria, VA 22311, or email him to discuss how you can enter honors courses or receive honors option credits.

Signature: _________________________________  Date: ______________________