UW-Madison Engineering Honors in Liberal Arts Program Application
Purpose of Application: This application is for high school seniors interested in applying for the
Engineering Honors in Liberal Studies program.

Instructions for completion
:  Applicant completes completes sections 1 through 5 of this form.  Applicant must provide the name and email address of a high school chemistry, physics or math teacher, who must complete a recommendation form that will be sent when this application is submitted. Recommendations from teachers must be received no later than May 23rd for program consideration.

Questions about the application can be directed to Dr. Andrew Greenberg (andrew.greenberg@wisc.edu, 608-890-1534)


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Email *
First Name: *
Last Name: *
Email: *
Application Address: *
Birthdate: *
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Country of Citizenship: *
Month/Year of Graduation: *
High School Name and Address: *
Name of High School Principal *
Indicate the engineering program from which you plan to graduate at Madison. Note: You must be
admitted to the College of Engineering to qualify for the Engineering Honors in Liberal Arts
program.
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