Haverford College Book Award

Thank you for your participation in our book award program! Haverford College’s book award recognizes a student in Grade 11 whose highly distinguished record of scholarship is shaped by deep curiosity and broad intellectual interests, and who wants to make a difference in the world.

Please complete the following form to confirm your selection for our book award. We will mail our book to your attention to present at your awards ceremony.

High School and Guidance Counselor Information

Counselor's First Name

Counselor's Last Name

Title

Counselor's Email Address

Name of High School

CEEB Code (CollegeBoard SAT Code)

High School Counseling Office Address

Country

Street

City

Region

Postal Code

Date of Award Program

Recipient (Student) Information

Recipient's First Name

Recipient's Last Name

Recipient's Email Address

Recipient's Birthdate

Sex

Female

Male

Year of Graduation

Additional comments or information: