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Wellesley College Required Supplemental Form Wellesley

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Wellesley College Required Supplemental Form Wellesley Powered By Docstoc
					WELLESLEY SUPPLEMENT PAGE 1 OF 2                                                                                                          Wellesley
Wellesley College Required Supplemental Form
ALL APPLICANTS:        Please complete the Common Application and submit together with this Required Supplemental Form.
                       If you apply online, the application fee is waived. Apply online at www.commonapp.org.
                       If you mail your application, please include the $50 application fee or fee waiver request and return with your
                       completed application.
INTERNATIONAL
APPLICANTS:            If you attend a secondary school outside the U.S., you must also complete the form: Students Applying
                       from Schools Outside the U.S.

DECISION PLAN:         Please check one Decision Plan. The following dates apply to both postmark and electronic deadlines.
                             Early Decision Deadline: November 1                                Accelerated Candidate Deadline: January 15
                             Please complete and sign                                           Leaving high school after grade 11
                             Early Decision Agreement Form
                                                                                                Transfer Fall Deadline: March 1

                             Early Evaluation Deadline: January 1                               Transfer Spring Deadline: November 1

                             Regular Decision Deadline: January 15



 Name______________________________________________________________________________________________________
                    Last (family name)                                       First                                    Middle (complete)


 Address_____________________________________________________________________________________________________
                    Number and Street


 ___________________________________________________________________________________________________________
                    City or Town                                             State                                    Zip


 Social Security # ____________-__________-___________ Date of Birth_______________________________________________
                                                                                                                      mm/dd/yyyy



 Applicant’s Email Address_______________________________________________________________________________________

 Telephone #s______________________                _______________________ Place of Birth_____________________________________
                      At mailing address                      Cell phone, if available                                City                      Country



 Are you a U.S. citizen?      yes        no If not, country of citizenship_________________________________________________________

 If not a U.S. citizen: Do you have Permanent Resident status?       yes*      no
 *If yes, you must submit a copy of your Alien Registration card with this form and/or supporting documentation to complete your application.

 School from which you will graduate/transfer_______________________________________________________________________

 School Address_______________________________________________________________________________________________
                    Number and Street

 _____________________________________________________________________________________________________________________________________
                    City or Town                                              State                                                Zip

 ________________________________________________             ________________________________________________
                    CEEB #                                                   School Phone #


 Have you previously applied to Wellesley?              yes       no         If yes, for entrance in (Month)______________________        (Year)____________________


 Calendar system of high school:              quarter           semester                 trimester


                                                                                                                                                          (over)
WELLESLEY SUPPLEMENT PAGE 2 OF 2                                                                                                       Wellesley
All Applicants
Relatives who are Wellesley employees
If you have family members who are presently employed at Wellesley please check here and list below

Name                                                             Department                                                   Relationship

Relatives who are Wellesley alumnae or current students

Last name                            First name                  Maiden name                 Class year                       Relationship


Last name                            First name                  Maiden name                 Class year                       Relationship


Last name                            First name                  Maiden name                 Class year                       Relationship


Last name                            First name                  Maiden name                 Class year                       Relationship

Academic interests
Please indicate below no more than two areas of academic interest.
   Undecided                          Greek (ZGRK)                            Interdepartmental Majors                   International Relations (ZINT)
Departmental Majors                   History (ZHST)                             American Studies (ZAMS)                 Jewish Studies (ZJWS)
   Africana Studies (ZAFR)            Italian Studies (ZITS)                     Architecture (ZARC)                     Latin American Studies (ZLAS)
   Anthropology (ZANT)                Japanese (ZJPN)                            Astrophysics (ZASP)                     Media Arts and Sciences (ZMAS)
   History of Art (ZARH)              Latin (ZLAT)                               Biological Chemistry (ZBCH)             Medieval/Renaissance Studies
   Studio Art (ZART)                  Mathematics (ZMTH)                                                                 (ZMER)
                                                                                 Cinema and Media Studies (ZCMS)
   Astronomy (ZAST)                   Music (ZMUS)                                                                       Middle Eastern Studies (ZMES)
                                                                                 Classical Civilization (ZCLC)
   Biological Sciences (ZBIO)         Philosophy (ZPHL)                                                                  Neuroscience (ZNEU)
                                                                                 Classical and Near Eastern
   Chemistry (ZCHM)                   Physics (ZPHY)                             Archaeology (ZCNE)                      Peace and Justice Studies (ZPAX)
   Chinese (ZCHN)                     Political Science (ZPOL)                   Cognitive and Linguistic Sciences       Russian Area Studies (ZRAS)
   Computer Science (ZCS)             Psychology (ZPSY)                          (ZCLS)                                  Theatre Studies (ZTHR)
   Economics (ZECN)                   Religion (ZREL)                            Comparative Literature (ZCLT)       Preprofessional Interest
   English (ZENG)                     Russian (ZRUS)                             East Asian Studies (ZEAS)              Prehealth
   French (ZFRN)                      Sociology (ZSOC)                           Environmental Studies (ZES)            Prelaw
   Geosciences (ZGES)                 Spanish (ZSPN)                             French Cultural Studies (ZFRS)
                                                                                                                     Other _______________________
   German (ZGER)                      Women’s Studies (ZWST)                     German Studies (ZGRS)
                                                                                                                     Please describe


Additional Question
Please limit your response to two well-developed paragraphs. If needed, you may attach a separate sheet which includes your name,
Social Security Number (if available), and date.
          “When choosing a college, you are choosing an intellectual community and a place where you believe that you can
          live, learn, and flourish. To this end, the Board of Admission is interested in knowing your reasons for applying to
          Wellesley College and how Wellesley will help you to realize your personal and academic goals.”




Applicant’s signature
I hereby apply for admission to Wellesley College and certify that the information in this application is
factual and true, and that the writing in the essay is my work.



Signature of student                                                  Date
  Academic Interests:
    Deparmental Majors:

    Interdepartmental Majors:

    Preprofessional Interest:


“When choosing a college, you are choosing an intellectual community and a place where you believe that you can
live, learn, and flourish. To this end, the Board of Admission is interested in knowing your reasons for applying to
Wellesley College and how Wellesley will help you to realize your personal and academic goals.”

				
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