Honors Program Contract Request

Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

You must upload one of the following file types for the selected field:

There was an error displaying the form. Please copy and paste the embed code again.

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

Student Information

Student Name *

Student ID*

Student Phone*

Student Email*

Use official @email.cerrocoso.edu (or BC or Porterville) student email address.

Is student currently a member of the Honors Program?*

Yes No

Provide a rationale for completing an honors contract at this time (contract approval will be decided by Honors Program Committee)*

Course Information

Mentoring Instructor*

Instructor Email*

Use official @cerrocoso.edu (or BC or Porterville) email address.

Course Number and Title*

CRN*

Units*

Term and Year*

Course Location*

CC Online ESCC Bishop ESCC Mammoth Lakes Kern River Valley Ridgecrest/IWV Tehachapi (East Kern)

Is this course scheduled to be offered as an Honors class this year?

Yes No

Provide a rationale for completing an honors contract at this time (contract approval will be decided by Honors Program Committee)

Contract Information

Objectives for contract*

Be specific. This is the most official part of the request, what goes to the Board of Trustees.

Meeting dates, times, and location, with eight one-hour meetings (no meetings before contract request is approved, and meetings must be outside of instructor’s office hours)*

List specific location, dates, and times, outside of office hours. Face-to-face classes should have face-to-face meetings. For online classes, use Skype or another real-time form of communication, or if the student is in the same location as the instructor, a face-to-face meeting is preferable.

Assignments

Be specific when describing honors project and assignments (e.g., titles of books, number of sources, number of pages required, one assignment per box below). The final project must be a ten-page (2500-word) research paper or equivalent. Meeting times and the hours to complete the assignments must total 54 hours. (No work can begin before contract request is approved.)

To earn honors credit, the combination of meeting times and the hours to complete the assignments must total at least 54 hours. For example:

Total proposed meeting hours = 8
Total proposed assignment hours = 46

For example: March 23.