Preface to Bates — May 5-7, 2013 | Admission

Name*

First, Middle, Last

Address*

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Cell Phone*

(###) ###-####

Home Phone

(###) ###-####

Email*

Date of Birth*

mm/dd/yyyy

Gender*

Male
Female

Ethnic background (optional - can check multiple boxes as applicable)

Other ethnic background

First Generation?*

Are you a first-generation-to-college student? (Neither parent graduated from a four-year college or university)

Status*

U.S. Citizen
Non-U.S. Citizen
Legal U.S. Permanent Resident

If "Legal U.S. permanent resident" please indicate your citizenship in the Other field.

Secondary School*

Secondary School State*

Secondary School Graduation Year*

Secondary School Phone*

Guidance Counselor Name*

Guidance Counselor Phone*

Guidance Counselor Email*

Class Rank*

If your school does not officially rank, please estimate your decile (e.g., top 10%, top 20%, top 30%, etc.).

GPA*

Parent's Name*

If your parent is a Bates alum, please enter his/her class year.

Parent's Email*

Parent's Phone*

Please list your junior year courses*

Please list your extracurricular activities including achievements, positions held or honors won (sports, the arts, community service, student government, etc.).*

Please list any academic awards, distinctions or achievements.

Please list any community-based programs or organizations that have provided assistance to you in preparation for college (e.g., ASP, Upward Bound, etc.).

Have you been to campus before?

No

If you've visited, indicate when in the "Other" field.

What do you think will be your possible major in college?

Please answer the following supplemental questions

Are you applying for a travel scholarship?*

Yes
No

A travel scholarship means that a representative from Bates College will make your travel arrangements for you. If yes, your guidance counselor should also recommend you for a travel scholarship in his/her letter of recommendation.

Your name as it appears on the identification you will be using at the airport or bus/train station

Please note that you must use a government-issued ID (driver's license, passport, etc.) for most major forms of travel within the United States. The name that you enter here will be used to purchase your ticket and MUST match your identification exactly.

Will a parent attend Preface with you?*

Yes
No

Bates College will provide housing and meals for a limited number of parents/guardians to attend Preface. Please contact the Bates Office of Admission if other accommodations are needed.

Name of parent/guardian attending Preface with you (as it appears on his/her ID)

Date of birth of parent/guardian attending Preface with you

First choice of departure airport or bus/train station

You will most likely leave from your departure location on Sunday, May 5th in the morning and return during the afternoon of Tuesday, May 7th.

Second choice of departure airport or bus/train station

Please list any food allergies or special dietary requirements needed.

Please write an essay on ONE of the following topics

1. Discuss a time when your ethnic background (or an aspect of your identity) significantly affected your life.

2. What do you hope to gain from attending the Preface to Bates program?

Submit Your Application

Signing your name and clicking "Submit" will automatically send this application to your guidance counselor for he/she to submit your official school transcript, a recommendation letter and a copy of your school profile. It is your responsibility to make sure that your guidance counselor submits the required materials by the application deadline.

Student Signature*

All materials are complete and true.

Preface to Bates — May 5-7, 2013

Preface Highlights

Apply by April 4, 2013

Please answer the following supplemental questions

Please write an essay on ONE of the following topics

Submit Your Application

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