Bay Path College “It’s MY Business” Summer Program

A P P L I C A T I O N

Personal Information

First Name:	Last Name:	Date of Birth:
Street Address:	City:	State:
ZIP Code:	Telephone:	E-mail:

Academic Information

High School:		Graduation Year:
Academic Interests::		GPA

Financial Information

Both full and partial scholarships are available for this program for students with financial need. Would you like to be considered for a scholarship? Yes No

Family Information

Parent or Guardian's Full Name:		Parent or Guardian's Full Name:
Address:		Address:
City:		City:
State:		State:
ZIP/Postal Code:		ZIP/Postal Code:
Telephone:		Telephone:
Work Telephone:		Work Telephone:
Emergency Contact:		Emergency Phone: