QUICKLINKS HAVE BEEN DISABLED

 

 
OVERNIGHT VISIT REQUEST
2011-2012 Elmira College Overnight Visit Request

Fill out the form below to schedule an opportunity to take part in the Elmira College Overnight Program.

Items marked with an * are required.

I would like to schedule an Elmira College Overnight Visit during:*
(Please reply at least two weeks before the selected time.)

Monday, September 12, 2011 – Thursday, October 13, 2011
Wednesday, October 19, 2011 – Thursday, November 17, 2011
Monday, November 28, 2011 – Thursday, December 8, 2011
Monday, January 9, 2012 – Thursday, February 16, 2012
Monday, February 27, 2012 – Thursday, April 5, 2012
Monday, April 23, 2012 – Thursday, May 17, 2012

I prefer the following date. (mm/dd/yy)

I would like to schedule an interview during my visit.
 Yes
No

I would like to schedule a tour during my visit.
 Yes
No

Please provide the following information:

First name:*
Middle initial:
Last name:*
Street address:*
Address (cont.):
City:*
State/Province:*
Zip/Postal code:*
Country:
Home Phone:*
E-mail:*

Year of High School Graduation:*
Number of students visiting overnight:*
Gender: Male Female


Please describe your Major(s) of interest:

Please describe your Athletic and Extracurricular interests:
  Elmira College | One Park Place | Elmira, New York 14901 | admissions@elmira.edu
© 2006 Elmira College | Site powered by The Level Enterprise Portal