Virginia HBCU Tour Student Interest Form

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*Rosh Hashanah Recess
Sunday, September 25, 2022
Depart Brooklyn, New Jersey & Delaware, Travel to Norfolk, Virginia, Game Night
Monday, September 26, 2022
Tour Norfolk State University
Tour Hampton University
Tuesday, September 27, 2022
Tour Virginia Union
Tour Virginia State University
Travel back to Delaware, New Jersey & Brooklyn

First Name *

Last Name *

Email Address *

Phone Number *

School *

Are you requesting that your school sponsor your participation in this college tour? *

Yes

Maybe

Current Grade, School Year 2021 - 2022 *

9th - Freshman

10th - Sophomore

11th - Junior

What type of social activity would you like to participate in while you are on the tour? *

Game Night

Karaoke

Spades Tournament

Can you commit to attending the HBCU Hub Summer Institute? *

Yes

Maybe

Will your parent(s) be able to make a $100 deposit by June 30, 2022? *

Yes

Maybe

Submit

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