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* indicates a required field
Student Information:
Full name: *
Preferred name:
Home address: *
Mailing address: *
E-mail address:
Daytime telephone: *
Student’s Cell Phone:
High school: *
Grade you will be entering in the fall of 2008: *
High school graduation date:*
 
 
Please indicate your top four course choices. You will be enrolled in two of the four courses you select, depending on course availability. Only applicants who submit a $100 deposit will be considered for class placement.
Courses:
  • Becoming a Leader
  • Creative Writing
  • Exploring Pottery
  • Finding Hidden Meanings: Politics in Literature
  • Location, Location, Location: Learning Navigation Skills
  • Modern Dance
  • Painting
  • Photography
  • Psychology: The Human Mind
First choice:
Second choice:
Third choice:
Fourth choice:
 
 
Please indicate your top three choices. You will be enrolled in one.
Athletic Clinics/Outdoor Program:
  • Basketball
  • Environmental ethics
  • Golf
  • Lacrosse
  • Soccer
  • Swimming
  • Tennis
  • Volleyball
First choice:
Second choice:
Third choice:
How did you hear
about Hollinsummer? *
How to Pay Your $100 Deposit to Secure Your Place.
I will phone the Admissions Office (800-456-9595) with my credit card information.
I will mail my check made payable to ''Hollinsummer'' to:

Hollinsummer Program
Hollins University
P. O. Box 9707
Roanoke, VA 24020
 
Parent or Guardian Information:
Parent or
legal guardian: *

Father's daytime
telephone: *

Father's Cell Phone:

Father's e-mail
address:

Mother's daytime
telephone: *

Mother's Cell Phone:

Mother's e-mail
address:

 
What are your reasons for wanting to attend the Hollinsummer program? *
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