Maryland Collegiate Honors Council
2005 John and Edythe Portz Awards
Outstanding Maryland Honors Student--Two-Year College
Outstanding Maryland Honors Student--Four-Year College
Nomination Form
Name of Student:______________________________________________________________________
Student's Address:____________________________________________________________________
Nominating Institution: _______________________________________________________________
Institution Address: ___________________________________________________________________
Honors Director: _____________________________________ Telephone: ____________________
Email address: ________________________________________________________________________
I. Student Data:
GPA (cumulative): __________________________________________
GPA (in honors courses): ___________________________________
Number of credits completed (through Fall 2004): ___________
Number of honors courses completed: ______________________
II. Student Involvement: Briefly describe your nominee's involvement in the honors program and/or extracurricular or community activities demonstrating initiative and leadership.
III. Recommendations: Please attach a recommendation from the Honors Director and one from a faculty member who has taught the nominee in honors courses.
IV. Student Project: Please submit with nomination form. Print or electronic form is acceptable.
Signature:_________________________________ Title: _________________________________
Please submit the nomination form and all supporting materials to:
Betsy Yarrison Email: byarrison@ubalt.edu
School of Communication Design Fax: (410) 837-6029
University of Baltimore
1420 N. Charles Street
Baltimore MD 21201
Nominations are due by March 4, 2005.
John and Edythe Portz Award information