University of Vermont

The Honors College
UVM | Honors College

Questionnaire



Personal
First Name:
Middle Initial:
Last Name:
Student ID:
E-Mail:
Phone:  )    -  

Address
Address 1:
Address 2: (optional)
City:
State:
Zip Code:

Academic
College:
Major:
Cumulative GPA:
Graduating Year:

Questionnaire
What fellowship(s) are you interested in applying for?
 
What are your plans for graduate school or for other post-graduate activities?
 
What are your career goals? Where do you see yourself in five years? What about five years after that?
 
What three classes have you found most important in your intellectual development? Why?
 
What piece of academic work or creative activity are you proudest of? Why?
 
Describe your significant extracurricular activities (these may be off-campus or on; they may also be summer activities).
 
List awards and honors you have received.
 
Describe any significant job or volunteer experiences.
 
Describe any significant travel experiences.
 
If you have not studied or traveled abroad are you interested in doing so? If so, to where?
 
Languages studied/spoken, with degree of proficiency:
 
Names of likely recommenders:
 
How did you learn about the fellowships program at UVM?
 
Any additional information: