High School Summer Sessions Registration

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Select Courses

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Student Profile

Fall 2024 Grade:*

9th Grade 10th Grade 11th Grade 12th Grade

Student First Name:*

Student Middle Initial:

Student Last Name:*

Student Social Security Number:

(123456789)

Student E-mail Address:*

(You will receive email once transaction is completed.)

Student Home Street Address:*

Student Home City:*

Student Home State:*

Student Home ZIP Code:*

Student Home Phone Number:*

(5165551212)

Student Date of Birth:*

Student Gender:*

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Please Specify:

Have you ever taken a course at, or affiliated with, Adelphi University previously? *
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Do you have an Adelphi University ID number? *
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Parent or Legal Guardian Information

Parent/Guardian First Name:

Parent/Guardian Middle Initial:

Parent/Guardian Last Name:

Parent/Guardian E-mail Address:

The Office of Summer and Intersession Programs
Levermore Hall, Room 307B
Adelphi University
One South Avenue
Garden City, NY 11530

p - 516-877-6474
e - summer@adelphi.edu