La Salle University :The Honors Program

* Required Fields

*Admission Term:
*Planned Course of Study:

APPLICANT
*First Name:	required field.
Middle Name:
*Last Name:	required field.
*Gender:	Male Female
*Date of Birth:
*Street Address 1:	required field.
Street Address 2:
*City:	required field.
*State:
Zip/Postal Code:
*Phone Number:	required field.
Cell Phone Number:
*E-mail Address:
*Will You Be a Resident Student?:	Yes No

HIGH SCHOOL
*Name:	required field.
*City:	required field.
*State:
Graduation Date:

QUALIFICATIONS
SAT Critical Reading Score:
SAT Mathematics Score:
ACT Score:
Class Rank/Size:
Grade Point Average (GPA):
AP Courses Completed and Scores:
AP Courses In Progress:

THE FOLLOWING QUESTIONS (INCLUDING THE ESSAY) ARE TO BE COMPLETED ONLY IF YOU DID NOT FILE A FORMAL AND COMPLETE APPLICATION FOR THE CHRISTIAN BROTHERS SCHOLARSHIP.

Please list up to three honors received, offices held and/or activities in which you held positions of responsibility or leadership while attending high school:


Please list the names and contact information (address, phone and email) of two people who can recommend your academic achievement and potential:


*Submit Your Essay: (500 to 750 words – Double Spaced – only .doc and .docx file types are supported) (Explain how your academic and extracurricular choices and experiences in high school have helped shape your intellectual and personal outlook to make you a strong candidate for success at most colleges and universities but particularly at La Salle University. BE SPECIFIC.)
*Please enter the characters as they appear below:

APPLICANT

HIGH SCHOOL

QUALIFICATIONS

THE FOLLOWING QUESTIONS (INCLUDING THE ESSAY) ARE TO BE COMPLETED ONLY IF YOU DID NOT FILE A FORMAL AND COMPLETE APPLICATION FOR THE CHRISTIAN BROTHERS SCHOLARSHIP.