Shadow Program - Request Form

Shadow Request

Titan Experience

Appointment Request Form

Student Information

Student First Name:  

Student Last Name: 

Sex:   Male   Female

Current School:   

Current Grade: 

Academic Interests

Are you interested in STEM?  Yes    No

Are you interested in Honors courses?  Yes    No

Extracurricular Interests

Are you interested in Athletics?   Yes  No

If "yes," please indicate which sport(s) you are interested in (CTRL + click)
Are you interested in Fine Arts? Yes No


Are you interested in Performing Arts?   Yes No
If yes, please indicate which area you are interested in: 

Additional Questions

Do you have any siblings who attended or are currently attending Holy Trinity?  Yes    No

If "Yes," please list their name and graduating year:  

If you have a specific Holy Trinity student who you would like to shadow, please list their name here: 

Please write in your first choice for an appointment date:

Please write in your second choice for an appointment date:  

Parent/Guardian Information

   First Name:     Last Name: 
Phone Number: Email: 
Address: City: 
State: Zip: 

After drop-off in the morning, would you like to stay for a Campus Tour?

  Yes    No 

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