Form
Writers at Harriman Registration Form
Date of application
-
Month
-
Day
Year
Date
Type of application
Idaho Resident ($495 tuition) Tuition is not required until acceptance is sent.
Out of State Resident ($595)
Returning Student ($395)
Financial Need Scholarship Applicant
For scholarship applicants, will you still be interested if you only receive a partial scholarship?
Student's full name, please include preferred nick names
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent or Guardian's name
First Name
Last Name
Parent or Guardian's telephone number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent or Guardian's email address
example@example.com
Student's telephone number
Please enter a valid phone number.
Format: (000) 000-0000.
Student's email address
example@example.com
Student Pronoun preference
He / Him
She / Her
They / Them
Does the student have allergies or food concerns we should be aware of? If so, please describe those needs below. For medical needs, please email the Director at sherryabriscoe@gmail.com.
Name of School
Entering grade
9
10
11
12
College
Teacher who knows the student well
Teacher's email address
example@example.com
What genres is the student interested in?
Tee Shirt Size
small
medium
large
XL
XXL
How did you hear about Writers at Harriman?
Facebook
Poster
From a friend
From a teacher
Website search
Instagram
Submit
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