Project Explore 2008 Application Form

Due by Tuesday, May 13, 2008

Name of Student

Age Grade(07-08) Parent’s e-mail

Home Address
                    mailing address, city, state and zip code

Name of Parent or Guardian

Home Telephone Work Telephone

T-shirt size (Adult sizes only): Small____ Medium___ Large ___ X-large ____

A.M. Session

1^st choice

2^nd choice

3^rd choice

P.M. Session

1^st choice

2^nd choice

3^rd choice

Please enclose a $5.00 non-refundable processing fee, per student, per course, to be applied to tuition ($10.00 for both sessions). This fee is part of the tuition.

Submit a completed recommendation form with this application, or the recommendation form may also be sent separately by the appropriate school personnel. Registrations must be accompanied by a recommendation form and a deposit to save a space in the program. Make check payable to: UM-Presque Isle/Project Explore, and mail to: Conferences & Special Programs, UM-Presque Isle, 181 Main Street, Presque Isle ME 04769-2888.

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