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Honors Program Application

In this Section
First Name:Middle Name:Last Name:
Student Number:Clarkson Telephone:Clarkson E-mail Address:
Why are you interested in the Honors Program?
How will you contribute to the Honors Program?
I certify that all materials submitted in the admission process-including the application, the writing sample, resume and any other supporting materials-are my own work, factually true, and honestly presented. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation, expulsion, or revocation of course credit, grades, and degree, should the information I have certified be false. I understand that these documents will become the property of the institutions to which I am applying and will not be returned to me. I authorize the Honors Council to have access to my Clarkson application for admission and to my transcript.

Please sign on the line below using your mouse or touchpad and click "Save Signature" then proceed to the bottom to submit your application.

Please return all Honors Program application material by February 23 to:

Jon Goss, Director
Honors Program
Clarkson University
PO Box 5755
Potsdam, NY 13699-5755

If you have any questions please contact the Honors Program office: Phone: 315-268-2320/2290; Fax: 315-268-2344; Email:

Clarkson University does not discriminate on the basis of race, gender, color, creed, religion, national origin, age, disability, sexual orientation, veteran or marital status in provision of educational opportunity or employment opportunities.