Rutgers Pre-College Arts Program

March 9, March 16, March 23, March 30, April 6, April 13, April 20, April 27

Time: 10:00 AM to 1:00 PM

Location: Fine Arts Building, 314 Linden Street Camden, New Jersey, 08102

Hosted By: Department of Fine Arts

Questions: Contact Brandon Borrelli (b.borrelli@rutgers.edu, 856-225-2870)

Selected Course:

* First Choice:

* If your first choice is not available, are you interested in a second choice?

Yes

If yes, what is your second choice?

- - - - - -

* First Name

* Last Name

Date of Birth

Gender

Address

City

State

Zip

* Email

Name of High School

Graduation Year

Parent / Guardian Information:

Parent / Guardian Name

Relationship to Student

Parent / Guardian Home Phone Number

Parent / Guardian Cell Phone Number

Parent / Guardian Email Address

- - - - - -

Do you need assistance with accessibility?

Yes

* I would like to pay for my course

Course Fee: $300.00