Providence Academy Shadow Day Interest Form

Applicant's Full Name

This is a required question

Current Grade

This is a required question

School Currently Attending

This is a required question

Would you like to be paired with a specific Providence student?

This is a required question

Please specify student's name.

This is a required question

What is your preferred date of visit (calendar permitting)?

Name of Person Completing Form

This is a required question

Relationship to Applicant

This is a required question

Daytime Phone Number

(xxx) xxx-xxxx format

This is a required question

Email Address

This is a required question

Please provide an emergency contact for the day of the visit.

Name and Phone Number in (xxx) xxx-xxxx format

This is a required question

If "elective/other," what type of class would you like to see?

This is a required question

Besides Admissions personnel, are there other faculty/staff you would like to meet (schedule permitting)?

This is a required question

Please list your top three extra-curricular activities/hobbies.

This is a required question

Would you like to meet a Coach (schedule permitting)?

This is a required question

What prompted you to schedule a visit?

This is a required question

Additional Questions for Students Shadowing in Grades 6-10