Visiting Weekend Request Form

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Admitted Students

Prefix: *

Mr.

Miss

Mrs.

Full Name: *

Street Address: *

City: *

State/province: *

ZIP/postal code: *

Country:

Student's Birthday: *

Student's Cell Phone: *

Student Email: *

Parent Full Name: *

Parent Email: *

Parent Primary Phone: *

Phone Type: *

Home

Cell

Parent Secondary Phone:

Phone Type:

Home

Cell

Parent address same as student's?:

Yes

Parent Address:

City:

State:

Zip/postal code:

Your High School Graduation Year: *

Are you a Christian Scientist? : *

Yes

What branch church do you attend?:

Are you already enrolled in college?:

Yes

Please name your current college.:

Are you attending The Principia Upper School?: *

Yes, I am a Day Student

Yes, I am a boarder

I am interested in visiting on: *

February 9-12 (Spring Semester 2012)

February 23-26 (Spring Semester 2012)

April 5-8 (Spring Semester 2012)

April 19-22 (Spring Semester 2012)

How do you plan to travel to Principia?:

Airplane

Car

Train

What sports do you play?: *

If you are willing, please share your GPA and SAT/ACT scores with us.

GPA:

SAT/ACT:

What are your academic interests?: *

If you would like to meet with a faculty member during your visit, which above academic interest should he or she be related to?: *

What are your hobbies and/or extracurricular activities?: *

What was the biggest influence in your decision to come on a visiting weekend?:

Talking on the phone with my Admissions Counselor

Emails from my Admissions Counselor

The in-person contact I had with my Admissions Counselor

Contact from a Principia coach

Marketing pieces I received in the mail

After talking with someone from Principia at a Discovery Bound event

My Discovery Bound friends

My camp friends

Current Principia College students

My Sunday School

My family

Information on Principia's Website

I have always wanted to come to Principia College, no influence needed

Other (please describe in comments below)

Additional Comments:

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