Date
This application is for students not
currently enrolled at
SUMMER TERM 2008: SESSION
I: May 27– June 27, 2008 SESSION
II: June 30 – July 31, 2008
Legal Last
Name Legal
First Name Middle Initial
Have you ever been enrolled in a course or program at Skidmore? _____ Yes
_____ No If yes, Course or
Program Year
Social
Security # (required) Citizenship
If dual, specify other
Date of
Birth (mm/dd/yyyy) / / Gender:
______Male ______ Female
Current
Address
street city
state zip
Home or Summer (circle one) Address
street city
state zip
Telephone Mobile
Phone E-mail
In case of
Emergency, notify:
name relationship
Telephone: Day Evening
Name of
school you are currently attending: Expected graduation date
.
FEES AND PAYMENTS
Registration
Fee: $20
Special One-Week Workshop with Terry Adkins. Tuition, $450, lab fee, TBA
Special Weekend Workshop with Jeffrey Shapiro.
Tuition $ 200, no lab fee
Special
Five-Week Workshops, Tuition for a non-credit course is $ 1,200. Lab fees vary
Housing: Room and board per 5-week session:
$1,680; Room only per 5-week session: $840
Fees are payable by check, or Master
Card or VISA only. Please make checks
payable to
Paying
by: Check VISA Master Card Amount: $
Card Holder
Name: Account Number:
Signature: Expiration Date:
Course 1:
Title Instructor
Course 2:
Title Instructor
Please return completed
registration forms and payments to:
Summer Art Program - Office of the
Dean of Special Programs
Marianne Needham
Palamountain Hall 4th Floor
815 North Broadway