Student Affairs

"Honors Day" is Saturday, May 3, 2008 at 2:30 p.m. in John Patrick Theatre (Kleist Center for Art & Drama)

Please submit this form at your earliest convenience to allow us sufficient time to plan this important event. While early submissions are requested, the final deadline for submission is Friday, February 22, 2008.

We are grateful to you for taking the time to fill out this form in its entirety.  Planning the Honors Convocation is an enormous project with many details to manage.  We strive to make this event special for students and their families, and we appreciate your help.  Thank you!

Questions? Call the Student Affairs office at x2111.

Department Information

Name of individual submitting form:        Department: 

Telephone number:                    Date of Submission:

Title of the Award:      

Description of Award (monetary, plaque, pin, subscription, etc.):

Please indicate dollar amount of award if applicable:                  
(If you are not sure of the dollar amount, contact Debbie Sprang, Endowment Office, at ext. 2425)

Is award split between two or more students? Yes No
(Please submit separate form for each student)

Will this award/scholarship be given to the student at the Honors Convocation? Yes No

If award/scholarship is not given at the Honors Convocation, when will the award be given to the student?

Recipient Information

First name:  Pronunciation:

Last name: Pronunciation:

Mailing address:  
Is this a campus or home mailing address? Campus Home

Social security number:   Student I.D. Number
(required in order to process checks)

Important:
If the award recipient is of senior status, we need to know if he or she will be graduating in May 2008. Please confirm whether or not senior award recipients have petitioned to graduate by calling Suzy McNally in the Registrar's Office, ext. 8028.

Class rank of award recipient: Freshman Sophomore Junior Senior

The recipient of this award is a senior who has petitioned to graduate in May 2008 Yes No

The recipient of this award will not be graduating in May 2008.                    Yes No

Will the award recipient be leaving B-W at the end of Spring Semester 2008? Yes    No

If yes, why?

Please list one or two major accomplishments of the award recipient: