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Admission

@HamiltonAdmssn

Office of Admission
800-843-2655
315-859-4457 (fax)

Application for the Diversity Overnight Program

September 21-23 or October 26-28, 2014

(*) Required Field

In addition to completing this form, please fax or email a copy of your high school transcript to the attention of The Diversity Overnight Program at 315-859-4457 or divonite@hamilton.edu.

Priority Deadline- August 4, 2014 (both programs)

Note: Most of our communication with you concerning the Diversity Overnight Program will be via e-mail. Please be sure to provide us with an e-mail address to which you have access to on a regular basis.

Program Date

Personal Information

First Name: *
Last Name: * (as it appears on a government issued id)
Preferred Name: *
Gender: *
Ethnicity:
Other (please specify):
Street Address: *
City: *
State: *
Zip Code: *
Birth date: * // (month/day/year)
Home Phone: *
Cell Phone: * (use home phone if cell phone is not available)
E-Mail Address: *
Airport/Bus/Train Station closest to your home:

Academic Information

High School: *
Year of HS Graduation: *
HS City: *
HS State: *
GPA:
Class Rank: /
Senior Courses (please list): *
Guidance Counselor:
Guidance Counselor Phone:
Guidance Counselor Email:

Standardized Testing

Please write N/A if you have not taken a particular exam. Must include some form of testing.

Highest ACT Composite: *
Highest SAT I Critical Reading: *
Highest SAT I Math: *
Highest SAT I Writing: *

Emergency Contact

First and Last Name: *
Relationship to you: *
Daytime Phone: *
Evening Phone: *
Cell Phone: *

Affiliation

Are you affiliated with a
community-based organization? (i.e. Upward Bound, Prep for Prep, etc.)
If so, specify:

Additional Information

Have you visited Hamilton College in the past year? *
If so, please provide the date of your most recent visit
Please provide us with your academic and extracurricular interests *

Statement of Participation

I certify that all of the above information is true, complete and correct to the best of my knowledge. I understand that this is a travel commitment; as a result, I've selected a weekend when a visit is possible for me. I am applying with the full intent of visiting Hamilton College. If selected, I understand that the College will incur expenses on my behalf. If circumstances change and I am unable to travel to campus, I agree to notify the Office of Admission as soon as possible and reimburse the College for the expenses incurred.

I also understand that as a guest of Hamilton College, I am expected to abide by the regulations set forth in the Student Handbook. By submitting this form, I agree to abide by the policies set forth by Hamilton College while I am a guest of the College.

I acknowledge that my overnight application will not be reviewed until my transcript is sent to the Hamilton Admission Office.

I have read and understand the Statement of Participation.

Cupola