Hampden-Sydney Home PageHampden-Sydney May Term
Sunday, November 23, 2008
APPLICATION FORM (for students not currently enrolled at H-SC)

Housing Application

Application for May Term                                Student Information

Students not currently enrolled at Hampden-Sydney College should complete this form and return it to Dr. Elizabeth Deis, Director of May Term, Box 665, Hampden-Sydney, Virginia 23943.  (Students currently enrolled at Hampden-Sydney College should register for May Term 2009 classes through the College’s Tiger Web.)

Name      Social Security Number

E-mail address:

Address(Street/Rural Route)

City   State   Zip   Telephone

Parent's Name

Address

City   State   Zip   Telephone

Current College or High School   Year in School


By submitting this form online in e-mail to Dr. Elizabeth Deis, I agree to be bound by the Honor Code while enrolled at Hampden-Sydney.
Name    Date


Select below the courses in which you would like to enroll.  Include alternatives.
Courses for 2009 (won't be available until February 2009; numbers listed are those offered in 2008)

First Choice
First Choice Alternate

Second Choice