Registration Form


N.B. Use the “Tab” key instead of the “Enter” key in order to go from one line to the next.
Hitting the “Enter” key may submit the application prior to when you are intending to do so.


Select One Session (required)

*Sessions 1, 3, and 5 are totally full. All spots for girls are filled.
Session 2: June 14-20, Limited space remaining for guysSession 4: July 5-11, Limited space remaining for guys.

The Summer Program Committee reserves the right to accept or deny applications based on various factors to ensure an optimal experience for all participants.

General Information

First Name (required)

Middle Name

Last Name (required)

Name you prefer to go by

Sex (required)

Date of Birth (mm-dd-yyyy) (required)

Student Email (required)

Student Cell Phone (required)

Street Address (required)

Street Address line 2

City (required)

State (required)

ZIP Code (required)

Home Telephone (required)

Name of Parent/Guardian (required)

Parent Cell Phone (required)

Parent cell number above belongs to (required)

Parent/Guardian Email (required)

Email address above belongs to: (required)

Student Religion (required)

Please list and explain any food allergies and/or dietary restrictions*If none, write N/A. (required)

*During the summer program, our kitchen staff is able to accommodate most common food allergies including gluten, dairy, and shellfish, but, depending on the severity of an allergy, we may not be able to accommodate a student at the program. Please note that our college food service is not able to accommodate students with anaphylaxis. We are sorry for any inconvenience.

Please list any medical conditions if applicable*If none, write N/A. (required)

*Due to the strenuous nature of this program, students with epilepsy or a history of seizures will not be able to attend. Please note that, during the summer program, we are not able to accommodate students with anaphylaxis. We are sorry for any inconvenience.

How did you hear about this program?

Please write a statement (at least 200 words) describing yourself: hobbies, extra-curricular activities, interests, family life, sports, etc.. Also explain your interest in the summer program and what you hope to gain from the experience. This will be helpful for the Summer Program Committee in their consideration of your application and, if accepted, will also be useful in determining roommates!

Statement describing yourself (minimum 200 words) (required)


Current School you attend full-time (required)

Type of School (required)

High School City, State (required)

Expected graduation date (month and year) (required)

If applying as an international student please answer the following: Are you proficient in the English language?

*Please note that English proficiency is required for attendance of the Experience Christendom Summer Program. International students may be required to do a Skype interview with a member of the Admissions Team before their application can be considered complete.

T-Shirt Size: (required)

Payment Type

Important: To complete your application, please pay at the same time as you submit, otherwise your application will not be considered complete. (If not admitted a full refund will be issued.)

Program cost: $500

Select One (required)

Promo Code (if applicable)

For those requesting financial assistance or using a promo code, please wait to receive an email from Clare Tapsak, who will contact you within 1 business day with payment directions. When you receive this email from her, please submit payment ASAP, otherwise your application cannot be considered.

Once you apply and pay, you will receive notice as to the status of your application within in a week. If accepted, you will receive more information about the program, including an “Items to Bring” sheet, a printed copy of the dress code and rules policies, a health form, as well as the physical release forms that will need to be signed and returned. Clare Tapsak is your main point of contact - ecsp@christendom.edu or 540-551-9187.


If planning to fly to Christendom, please wait until officially accepted and until you receive travel instructions from Clare before purchasing plane tickets. The college cannot accommodate students who arrive or depart outside the designated times. Thank you!

Christendom College admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.