Norco CollegeRiverside Community College District

Honors Program Petition for Special Admission

If you do not currently meet the eligibility requirements, yet are still interested in the Honors Program, complete and submit this form along with your Honors Program application. Attach a single page, if necessary.

Name _____________________________________________________________________________ Last name First name MI

Address _____________________________________________________________________________ Mailing Address

_____________________________________________________________________________ City State zip code

Phone (_____)_____________ (_____)_____________ RCC student ID __________________ home cell

Email ______________________________________________________________________________ 1. What are your educational goals and how does the RCCD honors Program fit into those goals?

2. What aspect of the traditional eligibility requirements have you not met?

3. Explain the circumstances that prevented you from meeting the traditional eligibility requirements.

4. List the things that you will do to accomplish your educational goals and gain / maintain traditional program eligibility.

_____________________________________________________ ______________________ Signature date

Mail this petition along with your completed application and personal statement to: Norco College2001 Third St Norco, CA 92860 Attn: Marissa Iliscupidez 951/372-7101

electronic submission can be made to: marissa.Iliscupidez@norcocollege.edu attach completed form to e-mail | type Honors Application in the subject line

After submitting this petition, the Honors Coordinator will review your eligibility and special petition.

Norco College

Honors CoordinatorDr. Courtney Buchanan

Courtney.Buchanan@norcocollege.edu

For office use only Approved ____________

Denied ____________

Date ____________

You will be notified about the Honors Coordinator's decision via email.