Honors Program Reference
Name of student applying to the Honors Program:_____________________________________
Your relationship to the student:_____________________________________
Additional contact information:_____________________________________
Your telephone number:_____________________________________
Your e-mail address:_____________________________________
You have been asked to provide a reference for a student seeking admission to the Honors Program at Henderson Community College. We are interested in learning about the student’s intellectual ability and curiosity, creativity, task commitment, and service or leadership potential. We realize you may not be able to speak to all of these qualities but ask you to respond to as many as you have knowledge of. The reference may be any length but should contain specifics about the student’s activities and traits.
If you are completing this form electronically, please provide your responses in an email to email@example.com
If you are not completing this form electronically, simply print this page, complete the information, and mail this form with your responses to:
Honors Program Director
2660 S. Green St.
Henderson, KY 42420