Application: Admissions and Student Marketing

BC TIGER PREP SUMMER ORIENTATION REGISTRATION

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

1.

I plan to attend on Saturday, July 12, 2014 starting at 8:00 a.m.

I do not plan to enroll at Benedict College.


2.

Social Security #::

Last Name: ,
First Name:

Address (Street or P.O. Box):

City:   State:  Zip:
Country:

Home Telephone #:

Cell Telephone #:

E-Mail Address:

# of Guest (s):


YOU MAY ALSO PRINT THIS COMPLETED FORM AND MAIL TO:

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

To apply for admissions, please fill out and submit the application.