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Kenyon College -- Prospective Student Questionnaire

Page 1

Personal Information

*Indicates a required field.

*Please select a sport:

Name

*First

*Last

Address Information

*Street Address 1:
Street Address 2:
*City:
*State:
*Zip:
Country:

Phone and Email

*Home Phone:
*Email Address:

Biographical Information

Date of Birth:
Ethnic Origin (optional):
Mother's Name:
Mother's Occupation:
Father's Name:
Father's Occupation:

Names of Kenyon Alumni/Students you know:

Academic Information

High School Name and Address

*High School:
*Graduation Year:
*High School Address:
*City:
*State:
*Zip:

Test Scores and GPA

GPA: SAT Reading:
ACT: SAT Writing:
SAT Math:
Class Rank: out of students
Guidance Counselor:

Other

Intended Major / Academic Interests:

Will You File For Financial Aid? Yes | No

Please List Academic Honors/Awards:

Please List Your Student Activities:

Other Colleges and Universities of Interest:

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Kenyon College. Gambier, Ohio 43022-9623 Phone: 740-427-5000