University of Southern Indiana

Honors Program Application

For further information, contact the Honors Program at 812-464-1833 or

If you prefer, a paper application also can be printed and completed in lieu of the web form and mailed, faxed or e-mailed to the Honors Program.

Note: Your form may take a moment to submit. Do not leave the page until you see the 'Thank you' confirmation page. We appreciate your patience!

Honors Program Application

Personal Information


Permanent Address

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Local Contact Information

Ex: 888-888-8888

Telephone Communication Preferences

Ex: 888-888-8888

Ex: 888-888-8888
Enrollment Information

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Format: YYYY

Academic Qualifications

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