University of Michigan, College of Literature, Science, and the Arts

2023–2024 Statement of Intent

Please fill out the form below to apply to the Douglass Houghton Scholars Program.


Personal Information

First name: Middle initial: Last name:

Mailing address:

Street:

City, state, zip:

Home phone: Cell phone:

E-mail address:

If known, please provide your UMID number: and uniqname:


Academic Information

High school name, city, state, and zip:

HS counselor: Most recent math teacher:

Last math class taken: Year:

Are you planning to take, or have you taken an AP exam in calculus?

Primary academic interest / likely college major:

If you selected "other" above, please specify:


Requirements of the program

Please check each box to indicate agreement. Note that you can submit this application before making your final decision to attend LSA.


Short response question

Students are the key to making DHSP work. Your own and your classmates' success will depend on your willingness to challenge yourself and your peers, to continue working even when you're frustrated, to teach and to listen, to experiment and to try new ideas, and to collaborate with all members of your group, especially those from educational or cultural backgrounds different from yours. By describing a specific experience you've had, tell us why you are a good candidate for the program, and why you are interested in science and/or math.

Leave a blank line between paragraphs.


Type your name below in lieu of a physical signature.

Signed: Date:

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