* Indicates required field
*All College(s) attended:
*Composite GPA (Grade Average):
Park University Scholarships Earned:
College Extra-Curricular Activities:
*Personal and Professional Goals:
*Please explain in 300 words or less why you want to become a part of the Honors at Park University Program:
Are you a member of PTK?: Yes
If you are not a member of PTK, please request that a faculty member who can assess your potential to work independently to design and complete a research project send a letter of reference to the Program Director at email@example.com.
Faculty Member's Name:
Faculty Email address:
For further information, please contact:
Virginia Brackett, Ph.D., Director, Honors Academy
8700 N.W. River Park Dr.
Parkville, MO 64152-3795
or e-mail firstname.lastname@example.org