Admissions

Prospective Student Open House Registration Form - August 10, 2012

August 2012 Prospective Student Open House
REGISTRATION FORM
August 10, 2012, 8:30am - 5:30pm

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 location, which will be billed directly to you. Housing will be provided at local guesthouses, potentially including Quaker Hill Conference Center, The Lauramoore Guesthouse and Retreat Center, 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?

Leadership Conference, August 10-12, 2012

A gift of free admission is provided for those prospective students wishing to attend the annual ESR Leadership Conference, August 10-12, 2012. This year’s plenary speakers will be Joyce Schroeder and Thomas Jeavons. The Leadership Conference will begin the night of August 10th and go through lunch on the 12th. 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/content/2012-esr-leadership-conference

Would you like to attend the Leadership Conference?

Workshops

There are two sessions of workshops during the Leadership Conference. Please choose a first choice for each set of workshops. Full workshop descriptions are available here. (http://esr.earlham.edu/content/2012-esr-leadership-conference)

Thank you!  We are looking forward to meeting you!

Jay Marshall, Dean, Earlham School of Religion, marshja@earlham.edu

Gail Bingham, Receptionist, Assistant to the Faculty and Admissions, binghga@earlham.edu

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