PFEW 2012 - Student Application

IF YOU ARE A PAST PFEW GRADUATE YOU ARE NOT ELIGIBLE TO APPLY AGAIN!


Complete the entire application. Ask your parent/guardian and school official to review the
information and sign in the appropriate areas.

(*Required Field)

Which week do you wish to attend? (Select in order of preference) ALL WEEK AND CAMPUS PREFERENCES WILL BE TAKEN INTO CONSIDERATION, BUT CANNOT BE GUARANTEED.
*First Choice	Select... Week 1: July 8 - 14, 2012 (Lycoming) Week 2: July 15 - 21, 2012 (Lycoming) Week 3: July 29 - August 4, 2012 (Lycoming) Week 4: August 5 - 11, 2012 (Penn College) No preference Select... Lycoming College Pennsylvania College of Technology No preference
*Second Choice	Select... Week 1: July 8 - 14, 2012 (Lycoming) Week 2: July 15 - 21, 2012 (Lycoming) Week 3: July 29 - August 4, 2012 (Lycoming) Week 4: August 5 - 11, 2012 (Penn College) No preference Select... Lycoming College Pennsylvania College of Technology No preference
*Third Choice	Select... Week 1: July 8 - 14, 2012 (Lycoming) Week 2: July 15 - 21, 2012 (Lycoming) Week 3: July 29 - August 4, 2012 (Lycoming) Week 4: August 5 - 11, 2012 (Penn College) No preference Select... Lycoming College Pennsylvania College of Technology No preference
*Fourth Choice	Select... Week 1: July 8 - 14, 2012 (Lycoming) Week 2: July 15 - 21, 2012 (Lycoming) Week 3: July 29 - August 4, 2012 (Lycoming) Week 4: August 5 - 11, 2012 (Penn College) No preference Select... Lycoming College Pennsylvania College of Technology No preference
Your Personal Information
*Gender:	Male Female
Applicants Email Address:
*First Name:
*Last Name:
*Street Address:
*City:
*State/Province:
*Zip/Postal Code:
*Home Phone:	( ) -
*Date of Birth (MM/DD/YYYY):
*County:
*High School Name:
* Acceptance Email Address: Please provide whatever email address will be checked regularly and will not be changed until after August 1st (ie: parent or guardians email address).  All future correspondence and possible Acceptance Materials will be emailed directly to this address. * Confirm acceptance Email
*Year Completed by June 2012   Sophomore   Junior
*T-Shirt Size   S M L XL XXL XXXL
*Plan on attending college?   Yes   No
*Do you want to choose a roommate who is interested in attending PFEW 2012? Yes   No
If yes, I request to share a room with: Name: School: County:
ESSAYS We recommend that you write your essay using a word processor and then cut and paste it into this application. This will make the completion of the application much simpler.
*I would like to participate in Pennsylvania Free Enterprise Week 2012 because:
*Describe your scholastic and extracurricular activities and achievements, both past and present:

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PFEW • info@pfew.org
Tel: 814.833.9576
3076 West 12th Street • Erie, PA 16505