Hollinsummer

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Hollinsummer Application

* 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 2009: *
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
  • Digital Video Production
  • Explorations in Forensic Chemistry
  • Exploring Digital Storytelling
  • Exploring Nature in World Cultures
  • Exploring Pottery
  • Finding Hidden Meanings: Politics in Literature
  • The Global Gastronomer: A Trek Around the World's Cuisines
  • 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
  • Golf
  • Lacrosse
  • Rock climbing
  • 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? *