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Interest Form

First Name

Middle Name

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Preferred Name

E-mail Address

High School Name

CEEB Code

High School Address

High School Address

Country

Street

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Postal Code

Will you be in the first generation of your family to graduate from a 4-year college?

When do you plan to enroll?

Type of Student

Type of Student

Exchange

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Birthdate

Birthdate

Ethnicity/Race

Ethnicity/Race

American Indian or Alaskan Native

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Other

White

Select the option that best describes your home area.

Haverford College
370 Lancaster Avenue
Haverford, PA 19041
610-896-1350
admission@haverford.edu