Drew

Ambassador Program Request Form

Overnight Visits for Admitted High School Seniors

Please Note: Please fill out this form in its entirety bearing in mind that the mouse and the tab key on your keyboard should be used to travel between fields. Please refrain from hitting the enter key until the form is complete and ready to be sent. Thank you.

Fall Overnight visits are only available for high school seniors.

 We ask that you please allow 5 days advance notice when selecting a date for your overnight visit. 

Frequently Asked Questions

Personal Information

 
Full Name (First and Last):
Gender:

Street Address :
City, State, Zip:
Home Phone #:
Cell Phone #:
E-Mail Address:


Emergency Information

Emergency Contact:
Relation To Student:
Emergency Phone Number:


High School Information

High School:
Graduation Year:


Arrival Time & Date

Requested Date of Arrival:
  
Estimated Arrival Time:
 Please Note: Most students typically arrive for their overnight visit between 3:00 and 6:00 p.m. Unless different arrangements have been made with your host, please register at the Office of College Admissions at Wesley House upon your arrival.

Interests

Potential Academic Major/Academic Interests:
Extracurricular Interests: