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Application

First Name Last Name
Street Address
Street Address 2
City State Postal Code
     
Country Citizenship
 
Phone Fax
   
Preferred Email Address  
 
Birthdate
Month Day Year
 
Male Female
 
Yes No
 
If yes, when?
   
School Information
School Name
Address
City State Postal Code
   
Country Citizenship
   
Type of School  
Private
 
Month Year
Session Selection
Session 2: April 20-27
 
Agreement of Applicant
I understand that if I am accepted to and agree to attend a Brown University Summer Program, I will be required to abide by and be subject to that program's academic and social code. I have read and understand the application procedures, admissions, and refund policies for the category of courses I have selected.
No
 
Parental Approval

Please note: If student is under the age of 18, parental approval of participation must be given.
Permission is granted for my son, daughter, to participate, if selected, in a Brown University Summer Program. I understand the necessity for his/her conformance to the conditions and regulations of the Program and of Brown University.

No
 
Parent' s Name
Parent's Address, if different from that of student
Street Address
Street Address 2
City State Postal Code
     
Country Citizenship
 
Phone Work Phone
   
Preferred Email Address  
Relative of Brown Alumni?  
No
If yes, relationship?

Essay
Please write a 1 page statement describing what you hope to learn from this program.

 
Note: Your completed application must include:
1) The Pre-College Application
2) A Teacher's Recommendation (Form in Adobe PDF Format)
3) An official school transcript
4) A one page essay describing what you hope to learn during this course
5) A $40 Application Fee

 

Mail the forms not completed online to:

   Brown University
   Office of Summer Studies
   Box T, 42 Charlesfield Street
   Providence, RI 02912
   USA

Brown University/Office of Summer & Continuing Studies 42 Charlesfield St., Providence, RI Summer@Brown.edu