Application for Honors

Sections I-IV must be completed and returned via email to the Director of the Honors Program, Assistant Professor Teige Sheehan, (Teige_Sheehan@brown.edu) by 4:00 p.m. on September 29 . A hard copy of Section V must be signed by both the student and faculty sponsor and turned in to the Psychology Department Honors Secretary, Michelle Ross, Hunter 275 by September 29.

Your Name:
Class:
Date:
P.O. Box:
Campus Adress:
Telephone:
Email:

Section I - Grades in Concentration
Course	Grade	Course	Grade

Section I - Proposed Thesis Title:

Which of the following areas does this problem primarily affect:
Undergraduate Instruction	Graduate Instruction	Aministrative/Secretarial	Research
Other:

From your point of view, by what date does this work need to be completed:
Date:		Time:

What is the best way to contact you about this:
Times:		Location:
e-mail:		phone:

Application for Honors

Your Name:

Class:

Date:

P.O. Box:

Campus Adress:

Telephone:

Email:

Section I - Grades in Concentration

Course

Grade

Course

Grade

Section I - Proposed Thesis Title:

Which of the following areas does this problem primarily affect:

Other:

From your point of view, by what date does this work need to be completed:

What is the best way to contact you about this: