Summer Academy Application

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Thank you for applying to College of Saint Mary Summer Academy!

Before you begin this application, please make sure you have the following information:

1. Your address, cell phone number and e-mail address
2. Your parent/guardians address, home phone number, cell phone number and e-mail address

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Student Information

Student's First Name: *

Student's Last Name: *

Student's Preferred Pronouns:

Address (Number & Street ): *

Apartment # (if applicable):

City: *

State: *

Zip Code: *

Student's Personal Email Address: *

Student's School Email Address: *

Student's Cell Phone Number: *

Can we text you updated information about the Summer Academy? *

Yes

Student's Date of Birth: *

Student's Race or Ethnic Heritage

Check all that may apply

Do you participate in the reduced/free lunch program? *

Yes

Current school student is attending: *

Student's anticipated year of high school graduation: *

Has the student taken Algebra & received high school credit for it?

Yes

Family Information

With whom does the student live with:

Check all that may apply

Other: *

Primary Parent/Legal Guardian Information:

First Name: *

Last Name: *

Relationship to Student: *

Address (Number & Street ): *

Apartment # (if applicable):

City: *

State: *

Zip Code: *

Email Address: *

Home Phone: *

Cell Phone: *

Can we text you updated information about the Summer Academy? *

Yes

Secondary Parent/Legal Guardian Information:

(if applicable)

First Name:

Last Name:

Relationship to Student:

Address (Number & Street ):

Apartment # (if applicable):

City:

State:

Zip Code:

Email Address:

Home Phone:

Cell Phone:

Additional Information

Tell us in one or two paragraphs why you are interested in attending the CSM Summer Academy? *

Please describe any type of accommodations needed:

Do you have any dietary restrictions or accommodations?

information [at] csm.edu
(402) 399-2400
(800) 926-5534

7000 Mercy Road
Omaha, Nebraska 68106-2377

Undergraduate Field of Study

Graduate Field of Study

Minors & Certifications

Opportunities & Services

Thank you for applying to College of Saint Mary Summer Academy!

Student Information

Family Information

Primary Parent/Legal Guardian Information:

Secondary Parent/Legal Guardian Information:

Additional Information

CONTACT US

Undergraduate Field of Study

Graduate Field of Study

Minors & Certifications

Opportunities & Services

Search form

Thank you for applying to College of Saint Mary Summer Academy!

Student Information

Family Information

Primary Parent/Legal Guardian Information:

Secondary Parent/Legal Guardian Information:

Additional Information

CONTACT US