Application for Admission to Elon College Name in full Address Parent's or Guardian's name and address Date of birth Last school attended Name and address of Principal No. years High School work completed No. units earned Are you' a church member? Of what church? Pastor's name and address Are you interested in Public Speaking? What sports do you play? What daily newspaper do you read? What county newspaper do you read? What profession are you looking toward as a life-work? Is your health good? SPECIAL DEPARTMENTS Please indicate by the answer "Yes" in which of the following Special Departments of the College you desire work : Piano Voice Expression Fine Arts Violin Domestic Science Pipe Organ Business Band Music Engineering ROOM RESERVATION Please reserve me room in and arrange (Oise College Dormitory) for me to board in (Name Boarding Department Desired) ($5.00) Dollars for room deposit fee to be applied to my of room rent. Should I not be accepted as a student room, it is understood that this fee will be refunded. (Signed) I enclose Five first installment or fail to get a (Address) Date ()tall to President W. A. Harper, Zion College, North Carolina) EFTA01184155
