Summer Programs

Student Application, Part A

Instructions

Fill in ALL information.
Use N/A for non-applicable.
The asterisk (*) indicates a required field.
When done, press the Submit button at the bottom of the form.
Only completed applications are reviewed for admission.

Select the program to which you are applying

High School Programs for those currently in grades 9, 10, or 11:

	China June 23 - July 29, 2008
	Paris June 24 - July 29, 2008
	Spain June 22 - July 31, 2008

Student/Applicant Information

Today's Date:	5/9/2008
*First Name
Middle Name
*Last Name
*Preferred Name

Gender

Female

Male

Current Grade Level (as of September, 2007)
Date of Birth	(mm/dd/yyyy)
*Home Phone
Home Fax
*Student's E-mail Address
Student's Cell Phone
*Home/Permanent Address

*City / State
*Zip
Country
Mailing Address, if different (i.e. PO Box #)

City / State
Zip
Country
How did you find out about Choate Summer Programs?	Person Internet Mailing School Other
Current School Name
Current School Address

City / State:
Zip
Country

Type of School:

Public

Private

Parochial

Mother's/Guardian's Information —
Prefix:
First Name
Last Name
E-mail Address
Cell Phone
Father's/Guardian's Information —
Prefix:
First Name
Last Name
Email Address
Cell Phone

Student lives with:

Both

Mother

Father

Other

If other, please state name and relationship

Information Regarding the Person Financially Responsible for the Student

Title:

*First Name
*Last Name
Relationship
*Home/Permanent Address

*City / State:
*Zip
Country

Home Phone
Home Fax
Business Phone
Business Fax
Cell Phone
Email Address

All Applicants

*Are you applying for Financial Aid? (February 15, 2008 deadline)*
Yes	No
Are you applying to the 2007-2008 regular academic year at Choate?
Yes	No
Does the applicant have any relatives who are graduates, current students, former Summer Program students, or employees of Choate Rosemary Hall?
Yes	No

If yes, give name(s) and relationship(s) to applicant and/or relationship to Choate Rosemary Hall:

List other summer programs you have attended:

Applicants who are not United States Citizens

Name as it appears on official documents (i.e. your passport):
First Name
Middle Name
Last Name
Country of Birth:
Country of Citizenship:

Personal Statement for all students

Please discuss in this space your interests, honors and experiences and indicate reasons why you wish to attend the program.

Submit

I understand that this electronically submitted information is only a portion of my entire application, and that my application cannot be reviewed for admission until ALL PARTS of the application have been received by the Summer Programs Office. Download, complete and mail in Part B – School Recommendation (PDF) and Part C – Teacher Recommendation (PDF).

The $60 application fee must be received by the Summer Programs Office before this electronic portion of my application can be processed.

Please check to show that you have read and understand the application process as described in the previous paragraphs.

Please verify that all your information is correct, then click the Submit button below.

Additional Application Parts

After submitting Part A of the application online, be sure to complete the two other sections of the application: