Registration Form

Padre Pio Full-Tuition Scholarship

First Name (required)

Last Name (required)

Student Email (required)

Street Address (required)

Street Address Line 2

City (required)

State (required)

ZIP Code (required)

Home Phone (required)

Student Cell Phone (required)

Birth Date (required)

Name of Accompanying Parent(s) or Guardian(s) (required)

Parent(s)Guardian(s)

Parent/Guardian Email

Parent/Guardian Cell Phone

Education

Current School you attend full-time (required)

School City, State (required)

High School GPA (required)

SAT:

Spelling/Verbal

Math

ACT:

Composite Score

CLT:

Composite Score

What is your intended major at Christendom? (required)
MathematicsHistoryEnglish Language and LiteratureClassics and Early Christian StudiesPolitical Science and EconomicsPhilosophyTheology

Other Information

In addition to the competition, I will be attending:
St. Patrick's Day Dinner at St. Lawrence CommonsSt. Patrick's Day Musical Festivities at St. Lawrence CommonsNeither. I will be leaving directly following the competition.

Please let us know if you have any dietary restrictions, questions, or concerns.

I certify that this information is true and accurate.

Signature (required)

Date (required)