Juniata College - Inbound Retreats

Inbound Retreats Application 2009

Regardless of your experience, we encourage you to sign-up for one of our exciting summer retreats and get your college journey off to a rewarding start. Retreats are limited to 10 students per trip. Once we have received all the applications, we will work hard to place everyone in one of their top 3 choices.

If you need assistance completing this application please call
(814) 641-3330 (Monday - Friday, 9:00am - 4:00pm).

If an error message pops up saying "invalid ID" after you fill out the application, please call (814)641-3330.

* Denotes required field.

Participation Form

First Name*
Last Name*
Nickname
Date of Birth*
Gender*
Home Address*
City*
State*
Country*
Zip Code*
E-mail*
AIM
Home Phone
Cell*
Is your home address the same as your summer address?*
Yes
No
- Dates at this Address
- Summer Phone
- Summer Address
- Summer City
- Summer State
- Summer Zip
T-Shirt Size*

Please rank the retreats in order of interest.
If you would like more information on the retreats click here.

Note: If selecting Fall Orientation, please do not rank any other retreats.
First Choice Retreat*
Second Choice Retreat*
Third Choice Retreat*
Fourth Choice Retreat*
Fifth Choice Retreat*
High School Activities*
What strengths do you believe you can bring to Inbound Retreats?(Please enter 25-75 words)*
What do you hope to gain through your experience in Inbound Retreats?(Please enter 25-75 words)*
How are you going to pay?*
Credit Card
Check
First Generation Scholarship Recipient

Inbound Retreats 2009

See also:

Inbound Retreats Application 2009

Inbound Retreats 2009

See also:

Inbound Retreats Application 2009

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