2009 Honors Convocation
Student Honoree Form
IMPORTANT INSTRUCTIONS – PLEASE COMPLETE UPON RECEIPT – Submission deadline is Wednesday, MARCH 11, 2009.
The information you provide on this form will be used for the 2009Convocation Program. Type ALL of the information requested on the fields below. You may use the TAB key to move from one field to another. After you and the college Dean sign the Honoree Form, please send thisform (as an attachment) to the Office of University Relations to . If you have any questions, please contact the Office of University Relations at 747-8244, or at .
DEPARTMENT:
1. OUTSTANDING GRADUATE STUDENT AND OUTSTANDING SENIOR BY MAJOR
- One academically outstanding graduate student who graduated in Summer 2008, Dec. 2008, or will graduate in May 2009.
Name: (Last)(First) (MI): Major:
Address: City: State: Zip: UTEP E-mail: Alternate E-mail:
- One academically outstanding senior by major who graduated, summer, 2008, Dec. 2008, or will graduate, May 2009 – only one student per major. (Please use additional forms as needed)
Name: (Last)(First) (MI): Major:
Address: City: State: Zip: UTEP E-mail: Alternate E-mail:
If applicable:
Name: (Last)(First) (MI): Major:
Address: City: State: Zip: UTEP E-mail: Alternate E-mail:
If applicable:
Name: (Last) (First) (MI): Major:
Address: City: State: Zip: UTEP E-mail: Alternate E-mail:
2. DEPARTMENT AWARDS
Department award named in honor of someone – do not include scholarships – recipient does not necessarily have to be graduating in the 2009 academic year.
Award Title:
Recipient’s Full Name (First, MI, and Last): Major:
Address: City: State: Zip: UTEP E-mail: Alternate E-mail:
3. OUTSTANDING GRADUATE AND UNDERGRADUATE THESIS (BY DEPARTMENT)
- One outstanding graduate thesis by departmentfrom a student who graduated in Summer 2008, Dec. 2008, or will graduate in May 2009 – only one thesis nomination per department.
Student Name: (Last)(First) (MI): Major:
Address: City: State: Zip: UTEP E-mail: Alternate E-mail:
- One outstanding undergraduate thesis by departmentfrom a studentwho graduated, summer, 2008, Dec. 2008, or will graduate, May 2009 – only one thesis nomination per department.
Name: (Last)(First) (MI): Major:
Address: City: State: Zip: UTEP E-mail: Alternate E-mail:
4. OTHER STUDENT AWARDS
Other Student Award - The award is based entirely on academic achievement and is administered through the department or GraduateSchool.
Award Title:
Recipient’s Full Name (First, MI, and Last): Major:
Address: City: State: Zip: UTEP E-mail: Alternate E-mail:
5. DEPARTMENT HONOR SOCIETIES
Only those Department Honor Societies that are currently registered with the StudentDevelopmentCenterwill be included in the Honors Convocation program. Visit the Honors Convocation webpage for a current list of the registered honor societies. Please direct your questions to StudentDevelopmentCenter at 747-5670. Use additional forms as needed.
Honor Society Name:
President (Name):
Address: City: State: Zip: UTEP E-mail: Alternate E-mail:
Name of Advisor(s): Department: Ext: UTEP E-mail:
Honor Society Name:
President (Name)
Address: City: State: Zip: UTEP E-mail: Alternate E-mail:
Name of Advisor(s): Department: Ext: UTEP E-mail:
6. SIGNATURES
The information will not be accepted without the Dean’s signature (electronic signatures are accepted).
Signature:______Date:
Department/Program Head
Signature:Date:
Dean
COMMENTS
.
Return by Wednesday, March 11, 2009
This form can also be found online at: follow the link for 2009 Honors Convocation then click on the link for Department Chairs and you will find this form as part of the links.