Application for Pre-College Exploratory Workshops (1-2 Weeks)


Important, International Students: At this time Wellesley College cannot offer immigration support for Pre-College Exploratory Workshops (1-2 Weeks). Only students currently in the U.S. in continuous F-1 status will be able to attend the program. You will be required to provide copies of your current immigration documentation.

*Legal First Name
 
Legal Middle Name
 
*Legal Last Name
 
Preferred First Name
 
Preferred Middle Name
 
Preferred Last Name
 
*Email
 
*Cell Phone International:
()
+ ( )
 
*Workshop of Interest

















 
*Do you have any previous or current association with Wellesley College (including an application for admission or any other contact with the Admissions Office)?
Yes
No
 
If so, please provide your Banner ID:
 
*High School:
 
*Graduation Year:
 
*Permanent Address:
 
Permanent Address (Line 2):
 
*City/Town:
 
*State: (if US/Canada)
 
*Zip Code:
 
*Permanent/Home Country:
 
*Native Language:
 
*Gender
F
M
 
*Date of Birth
 
*Citizenship Status:


Citizenship of other country


 
*Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade forward, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution.
Yes
No
 
If you answered yes, please provide the approximate date of each disciplinary incident, explain the circumstances, and reflect on what you learned from the experience
 
*Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime?
You are not required to answer “yes” to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential.
Yes
No
 
If you answered yes to the above question, please provide the approximate date of each incident, explain the circumstances, and reflect on what you learned from the experience
 
*Are you an NSHSS Member?
Yes
No
 
*How did you hear about this program?
Search Engine (i.e. Google, Yahoo)
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Wellesley Admission Office
Wellesley Website
Your Guidance Counselor
Word of Mouth (i.e. A Friend, Parent)
Other
 
*Student's Signature
 
*Parent/Guardian Name
 
*Parent/Guardian Email
 
*Parent/Guardian Phone
 
I hereby give my child permission to apply to, and participate in, the Wellesley Pre-College program. I have read and understand all of the materials provided including the waiver/consent forms that I will be required to sign. I understand other waiver/consent forms may be required in order for my child to participate in the Pre-College Program.
 
*Parent Signature
 
Discount Code
 
*Tuition Acknowledgement
I acknowledge that I am responsible for payment of my tuition account and related expenses by the published payment due date. I understand that Student Financial Services will use my Wellesley College email as the primary method of communication. I acknowledge the Pre-College academic calendar deadlines and policies including the non-refundable fees and the tuition refund guidelines. I agree to pay all collection fees including attorney fees and all other charges necessary for collection of this debt.

 

Hit "Submit" to complete the form.

After you hit "submit" you will need to submit a $50 non-refundable application fee in order for your application to be complete. You will receive an email with instructions on how to pay your application fee.

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