Application: Admissions and Student Marketing

SPRING 2013 OPEN HOUSE REGISTRATION

Saturday, April 13, 2013
9:00 a.m. until 12:00 noon
Benjamin E. Mays Human Resources Center Arena (GYM)

2:00 p.m. Spring Football Game at Charlie W. Johnson Football Stadium

Instructions: Submit this completed form by clicking on "Submit" below.

Name: Last 
First

Address:
City:   State:  Zip Code:
Country:

Phone Number:

E-mail Address:

Social Security Number:

High School Name:
High School Graduation Year (YYYY):

GPA Average (4.0 scale):

Group Name, Program or Organization (Member of):

Number of Guest(s) attending the Open House, including yourself:

THIS COMPLETED FORM SHOULD BE SENT TO:

Phyllis L. Thompson
Director of Admissions and Student Marketing
Benedict College
1600 Harden Street
Columbia, South Carolina 29204

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