Visit Scholarship Program Application

Information for Flights - Student

First Name

Middle Name

Last Name

Birthdate

Sex As Appears on Passport/License/ID

Preferred Airport

Start Date of Program Listed on Invitation

Information for Flights - Parent/Guardian

First Name

Middle Name

Last Name

Birthdate

Sex As Appears on Passport/License/ID

Relationship to Student

For the safety of our guests we require that all visitors be fully vaccinated, including a booster (within one month of eligibility), and provide documentation of COVID-19 vaccination upon arrival on campus. A photo, photocopy or digital copy of your vaccination card is sufficient. We require all visitors, even those who are fully vaccinated, to wear face masks when they are indoors in group settings or public spaces. To provide the highest level of protection, those masks must be N95, KN95 or KF94. If you don't have one of these masks, we will provide one when you visit. Do you understand what has been listed above?

Yes

No

Biographical and Contact Information

Do you identify as a first-generation college student?

Yes

No

Email Address

Parent/Guardian Email Address

Mobile Number

Parent/Guardian Mobile Number

Home Address

Country

Street

City

Region

Postal Code

High School Information

High School Name

High School Address

Country

Street

City

Region

Postal Code

Entry Term to College

High School Year of Graduation

Please provide your high school counselor's information below

Counselor Name

Counselor E-mail

Counselor phone number

Are you involved with any Community Based or other prep organizations? If so, please enter in the name of the organization below.

Current GPA

VSP Questions

What are 3 things (or less) you would like more information on during your Whitman Visit? (ex. financial aid, clubs/activities, recourses, etc..)