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Preco Application Form 2013

This document is a Pratt Precollege Application Form for the summer 2013 session from July 8th to August 2nd. It requests basic contact and background information from applicants, indicates required application materials, and lists the various fees associated with applying for and attending the precollege program, including tuition, housing, and elective course options. Applicants are also given the choice to consent to having their images or being used as a reference by the program in the future.

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clementscounsel8725
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© Attribution Non-Commercial (BY-NC)
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Download as PDF, TXT or read online on Scribd
202 views

Preco Application Form 2013

This document is a Pratt Precollege Application Form for the summer 2013 session from July 8th to August 2nd. It requests basic contact and background information from applicants, indicates required application materials, and lists the various fees associated with applying for and attending the precollege program, including tuition, housing, and elective course options. Applicants are also given the choice to consent to having their images or being used as a reference by the program in the future.

Uploaded by

clementscounsel8725
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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For Office Use Only

PRATT PRECOLLEGE APPLICATION FORM - SUMMER 2013: July 8 - Aug 2

Date Received: ___________

Pratt ID#_____________________________________

Please print clearly, or type. This form can be faxed to 718-399-4410, or emailed to [email protected]

___________________________________________
Last Name: ___________________________________________
Address: ____________________________________________
___________________________________________________

PREFERRED Status (Check appropriate box)

City

ENCLOSED ARE:

First Name:

State

Zip Code

Country

US Citizen?
Yes
No (International Students must complete an I-20 Request)
(If you are a US Citizen living abroad, please include a copy of your US passport)

Brooklyn Commuter
Brooklyn Residential (I plan to live on the Brooklyn Campus)

A Letter of Recommendation (from HS Art Teacher or Guidance Counselor)


A Letter of Intent (Why do you want to attend PreCollege?)
I-20 Request Forms (International Students / Non-US Citizens)

Social Security #: ______-____-______ Date of Birth: ____________


Sex:

Male

Female

month / day/ year

Home Phone #:

___________________ Cell #:________________


Email Address: ________________________________________
High School: ________________________ Graduation:_________
month / year

(Information regarding I-20 request forms can be found on the PreCollege


website; completed forms may be sent separately from this application.)

ENCLOSED IS MY PAYMENT:
$40 Application Fee (Non-Refundable, Due with Application)

$500 Deposit (Non-Refundable, Due with Application, Applied to Tuition)

ADDITIONAL FEES FOR ALL STUDENTS: (Due by May 1)

Parent/Guardian Name: ___________________________________

$2642 Tuition Remainder (Tuition: 4 Credits: $3142 - $500 Deposit =$2642)

Phone /Cell #: _____________________ Fax #:________________

$325 Student Administration Fee

Email Address:

________________________________________
____________________________________________
___________________________________________________

ADDITIONAL FEES RESIDENTIAL STUDENTS: (Brooklyn Campus Only)

City

OPTIONAL FOR BROOKLYN COMMUTERS:

Address:

State

Zip Code

Country

ELECTIVE CHOICES: (List in order of your Preference) Students will be


automatically enrolled in the Foundation, Art History & Portfolio Development Courses.)

1._________________________________________________
2._________________________________________________
3._________________________________________________
PHOTO RELEASE: Check the box and sign your name below to grant Pratt Institute
permission to use images of you /your artwork for future publications/presentations.

REFERENCE RELEASE: Check the box & sign below to grant Pratt permission to give
your name and contact information as a reference to future PreCollege students.

Name: _______________________________________________________
Signature:_______________________________Date:_________________

$1541 Room & Board (Housing Fee $841 + Meal Plan $700)
$104* Local Transportation Fee (*Subject to Change)
$175 Board Only (Lunch on the Brooklyn Campus)

Total Enclosed: ____________________________________


VISA

MasterCard

AMEX

Discover

or

Check

Card Number:_________________________________________________
Expiration Date:_________________Interbank # /Code:____________
Name as Printed on Card: ____________________________________
Signature:_________________________________________________

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