Overnight Program Registration

First Name: *

Last Name: *

E-mail: *

Confirm Email *

Address *

Gender *

City

State *

Zip *

Phone *

(include area code)

Fax Number

Student Cell Phone *

Parent/Guardian's Name

Parent/Guardian's Day Phone

Parent/Guardian's Cell Phone

SCHOOL INFORMATION

For current school, enter High School Name (for incoming freshmen) or College Name (for incoming transfer students).

Current School *

Anticipated Major *

Alternate Anticipated Major *

PROGRAM DATE SELECTION

Select a date *

Tues, March 12 and Wed, March 13, 2013 (*Only for students who received Honors at Entrance or are Presidential Scholar Scholarship Candidates)

Tues, April 9 and Wed, April 10, 2013

ACADEMIC INFORMATION

List at least four types of classes you would like to attend (e.g. Communication, Biology)

List classes *

What do you like to do in your free time? (e.g. Reading, Photography)

Free Time *

PARENT PROGRAM

Will your parents/guardians be attending the Parent Program?

Parents attending *

Yes

No

If yes, please provide the name(s) of those attending

Names

(Will your parent(s) be attending the Spanish language parent program?

Parents attending Spanish language program

Yes

No

If yes, how many parents will be attending the Spanish language program?

How many parents

TRAVEL

Will you be using the SMC shuttle to and from the Oakland Airport?

Shuttle *

If yes, please provide your airline name and flight number and time of arrival

Flight Number

Time of Arrival

*NOTE: If you are requesting use of the Saint Mary's College shuttle, please book flights that arrive at the Oakland Airport prior to 12:30pm. These shuttles are for only prospective students needing transportation from Oakland Airport to Saint Mary's. Following the program shuttles will arrive back at the Oakland Airport by 2:45pm.

*Presidential Scholarship Candidates who are in need of a shuttle please book a flight that arrives prior to 10:00am.

OVERNIGHT ACCOMODATIONS

Most overnight visitors have a student host selected for them by our staff. However, if you have a friend or relative who is a current SMC student living on campus with whom you would like to stay, please provide the student's name below. Please note that we are not able to house you with a student of the opposite sex.

*Students who require accessible housing or other accommodations and considerations due to disability, contact Student Disability Services at sds@stmarys-ca.edu or (925) 631-4358 at minimum two weeks before the event.

Student Host Request

Please indicate what your preferences are as how you would like to be matched with your student host during your visit. (Be aware that we will try our best to match you with a student host matching your preferences but we cannot guarantee it.)

Rank the following 1-3 (1 being the most important characteristic and 3 being the least important).

Academic Interest

Students from your hometown

Ethnicity

Undergraduate Admissions