Admissions

Prospective Student Open House Registration Form - Mar. 2012

March 2012 Prospective Student Open House
REGISTRATION FORM
March 2, 2012, 8:30am - 4:30pm

Personal

Please enter your personal information.

Please enter your full name.

Please enter the first line of your mailing address.

If you have a second address line, please enter it here.

Please enter the name of your city.

Please enter the two-letter abbreviation for your state.

Please enter your zip code.

If you have an email address, please enter it here. Your email address will not be used for any other purpose than ESR contacting you regarding admission.

If you would like to share your telephone number with us, please enter it here.

If you would like to share your cell phone number with us, please enter it here.

ESR will provide breakfast, lunch, and housing for two nights for you and a guest. Would you like to bring a guest?

Please enter the name of your guest.

Guest’s Relationship to you (e.g. husband, wife, mother, brother, etc.):

Lodging

ESR will provide housing for you and one other person for up to two nights. We can arrange for a third night of housing in the same venue, which will be billed directly to you. Housing will be provided at local guesthouses, potentially including Quaker Hill Conference Center, The Lauramoore Guesthouse, and The Brethren House. We will be in touch about more specific details about where you will be staying closer to the date. All of these include a private bedroom and a communal bathroom. Fees for additional nights will range up to $45.

Would you like ESR to provide housing for you?

Which nights would you like for us to arrange housing for you? (See above)

Questions

Please respond to these questions regarding your visit to ESR.

Please indicate any dietary restrictions or allergies you or your guest have (e.g. vegetarianism, etc.).

Are there any particular concerns you wish to address during your visit, or are there any particular questions you have?

Is there anything else we should know?

Spirituality Gathering, March 3rd, 2012

A gift of free admission is provided for those prospective students wishing to attend the annual ESR Spirituality Gathering, Saturday March 3rd, 2012.  This year’s keynote speaker will be writer and Quaker pastor Phil Gulley.  The Spirituality Gathering will be an all-day event on Saturday, March 3rd.  Guests accompanying you may also choose to attend and pay the registration fee.

Information and full event schedule can be found online at: http://esr.earlham.edu/news-events/events/sp2012

Would you like to attend the Spirituality Gathering?

CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.