Visit Request Form

Student Information

Full Name: *

Gender: *

Female

Male

Other

Other (please explain):

Street Address: *

City: *

State: *

Zip/Postal Code: *

Country:

Cell Phone: *

Home Phone:

Email Address: *

Birthdate: *

Year

Month

Day

What is your interest in Christian Science? *

Please describe your experience with Christian Science? *

Visit Information

Other (please let us know who)

I am interested in visiting on: *

February 18-21, 2021 (virtual)

March 25-28, 2021 (virtual)

April 8 -11, 2021 (virtual)

April 22-25, 2021 (virtual)

Are you coming alone or with a parent? We offer Friday parent sessions during each Visiting Weekend. *

Alone

With parent

School Information

Do you attend Principia Upper School? *

Yes

High School Name:

High School Graduation Year:

I am a:

High school junior

High school senior

College student

Other

Other (please specify):

Academic Information

Cumulative GPA: *

SAT/ACT Score:

Academic Interests: *

Extracurricular Interests: *

Athletic Interests:

Parent Information

Name: *

Cell Phone: *

Email Address: *

Comments or Questions for Admissions:

Principia uses photos, videos, and audio recordings of students and visitors in its marketing communications. If you do not want to be included, please email admissions.dataentry@principia.edu prior to your visit.

By submitting this form you agree to support our community standards throughout your entire visit. These standards apply whether on or off campus and include refraining from smoking, purchasing or consuming alcohol, engaging in sexual activity, or taking illegal drugs. Anyone violating these standards during a visit will be asked to leave campus and may be asked to return all travel fund assistance. If you have any questions or concerns, please contact Nicole Gervais at 618.374.5578 or at nicole.gervais@principia.edu.

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