Davidson College - S.T.R.I.D.E Registration Form

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S.T.R.I.D.E. Registration

August 14 - 17, 2011
Submission Deadline: July 1^st, 2011

If you wish to participate in S.T.R.I.D.E. but have missed the above deadline or have other questions please contact Dean Ernest Jeffries at 704-894-2225 or via e-mail at erjeffries@davidson.edu.
* All fields are required.
Name:
Home Phone Number: xxx-xxx-xxxx
Cell Phone Number: xxx-xxx-xxxx
Address:
City:
State (U.S.A. & Canada):
ZIP:
Current Email:
T-shirt Size:
Will you be attending Pre-College Enrichment August 16th-19th?:	Yes, I will No, I won't I have questions, please contact me
Tell us about yourself so we can pair you with one of our AMAZING Mentors
Full Name:
Birthday (MM/DD/YYYY):
Preferred Name:
Home Town:
High School (public, private, all girls, etc.)
Major:
Favorite Book(s):
Favorite Candy and Snack:
Favorite Color(s):
Pick one word that describes you best:
Do you have any special dietary needs or allergies?
What are your hobbies?
What are your favorite collectibles or keepsakes?
How do you relieve stress?
Who are the most important people in your life?
What song means the most you you? Why?
What type(s) of music do you enjoy?
What are the types of things that you hope to have in a mentor? (The more you give, the more you get)