Telephone No. ( )___________________ Cell Number ( )___________________
Area Code Number Area Code Number
If you have an on campus housing assignment, please use this information to complete the Local Address portion below. If you are living off campus at an address other than the permanent address listed above please use that information in the Local Address portion.
Local Address _________________________________________________________________
Expected Graduation date: Class of _________ Cumulative GPA: __________
NOTE: If you are interested in engineering please do not state engineering as your major. At CAU you must first major in content area (biology, chemistry, computer science, mathematics, or physics). Therefore, state the content area then indicate engineering. See example.
Profile packets and essays should be submitted no later than May 1, 2017 by email to Dr. Teri Platt, Interim Director of the Honors and Scholars Program at Clark Atlanta University, at email@example.com. Please contact us if you have questions or trouble submitting your information.