2008/2009 Visitation Request for Ursuline Academy

Please submit this form to the Admission Office at least one week in advance of your request date. Please be sure to include your signature and date at the bottom of the form.

Ursuline Academy
1106 Pennsylvania Avenue
Wilmington, DE 19806
Fax: (302) 658-4297

Ursuline Academy offers a visitation program for prospective students to experience a typical day at our school. Students wear “dressy casual” clothes, but please, no jeans or sneakers. During the day, each student will come to the cafeteria with a Free Lunch Pass which we will provide.

Meet at the Admission Office in Gerardine House, located at 1103 North Franklin Street, Wilmington at 7:45 A.M.

Please indicate your first and second choice of dates:

October 2 _____ 6_____  8_____ 14 _____

23 _____ 28 _____ 29 _____ 30 _____
November 4 _____ 6_____ 7_____ 11_____

12 _____ 13_____ 18____ 20_____
December 1 _____ 4_____ 9_____ 12 ____ 18_____
January 6 _____ 9 _____ 13_____ 27 _____
February 3 _____ 6 _____ 19 _____ 24 _____ 27_____
March 5 _____ 11 _____ 17 _____ 20 _____
April 7_____ 21_____ 27 ______ 30 ______
May 5_____ 14 _____ 18______

Student Name: _________________________________ Applying for Grade:_______________________

Current School:_________________________________

Father’s Name:_________________________________ Daytime Phone: __________________________

Mother’s Name:_________________________________ Daytime Phone: __________________________

Emergency Contact:_____________________________ Phone: _________________________________

If possible, our child would like _________________________________ to serve as his/her host.

Please provide some of your child’s interests and activities : ___________________________________

______________________________________________________________________________________

Our child, _______________________________, has our permission to visit Ursuline Academy. We understand that he/she should arrive at the Admission Office in the Gerardine House at 8:00 a.m., and we will pick him/her up at 2:00 p.m. at the Admission Office.  Ursuline Academy has our permission to provide emergency medical assistance, if necessary.

*Parent Signature: ___________________________________       Date: ____________________________

 *Please provide the name of the person who will be picking up your child:

 ________________________________________________________

Ursuline Academy 1106 Pennsylvania Avenue Wilmington, DE 19806 | 302-658-7158 | Fax: (302) 658-4297