Summer Program Application

Personal Information
*Full Name
*Social Security Number
*Date of Birth
*Gender
*Address
*City, State, Zip
*Home Phone
Cell Phone
*Email
Academic Information
*High School Name
*High School Graduation Year	2008 2009 2010
*Cumulative Grade Point Average
SAT/ACT Score	If applicable.
Session and Course Selection
	In the session or sessions you wish to attend select the ONE course you would like to take during that session.
Week One: July 6th -11th	Select one
I would also like to attend the Youth Conference.	Yes No Youth Conference dates are July 11th-13th.
Week Two: July 14th-18th	Select one
COST AND ENROLLMENT INFORMATION
	The cost of the summer program is $500 per student, which includes room, board, tuition and activities for one week-long session. Payment schedule is as follows: A nonrefundable $250 deposit is due June 1, 2008. The remaining $250 is due June 15, 2008.
	PLEASE CONTACT THE OFFICE OF ADMISSIONS WITH ANY QUESTIONS!
Comments
How did you hear about the summer program?	Friend/Relative Web Site E-mail
	Click here to make your $250 deposit for the Summer Program Click here to pay your $250 balance for the Summer Program -- or -- Click here to pay the total cost ($500) for the Summer Program

Ave Maria University