Online Application for Admission University of Southern Maine Honors Program
Student Name:
Permanent Address:
City State Zip Code:
E-mail Address:
Phone Number:
Background Information (Please check one):
Name of High School
Credit Hours Completed
Name of Institution
 Verification

I certify that the information I have provided is complete and accurate to the best of my knowledge. I understand that in order for this application to be considered I must also submit an application to the University of Southern Maine and that my admission to the Honors Program is contingent on my admission to the University. Students may not paticipate in both Honors and Russell Scholars at the same time.

The University of Southern Maine shall not discriminate on the grounds of race, color, religion, sex, sexual orientation, national origin or citizenship status, age, disability, or veteran's status in employment, education, and all other areas of the University. The University provides reasonable accommodations to qualified individuals with disabilities upon request. Questions and complaints about discrimination in any area of the University should be directed to the executive director, Office of Campus Diversity and Equity, 780-5094, TTY 780-5646.