Fairfield University

Pre-College Immersion Program Application

Fairfield's non-credit, online Pre-College Nursing Program for high school students allows you to experience a week in the world of nursing, learning about the many opportunities available in this growing profession with our outstanding faculty.

The application deadline is Friday June 25th at midnight.

Please complete this application with your parent or guardian.

Please have your unofficial transcript ready to upload later in this application.

* If you are unable to upload your unofficial transcript at this time, please send it at a later date by email to Sandy Richardson at precollege@fairfield.edu

* Important Note: Using the back button at any point in this application will bring you back to the beginning and will not save any of your entries. Please be sure you have the time to complete the application in its entirety.

Agreement and Waiver of University Liability:
I, undersigned, authorize my child to participate in the Pre-College Immersion program. I assume all risks and hazards incidental to participation in the above-mentioned program. I hereby, waive, release, absolve indemnity, and agree to hold harmless Fairfield University and the program instructors, organizers, sponsors, etc., for any claim arising out of injury to myself/child.

I have read and understand the Agreement and Waiver of University Liability.

Confirmation of Student Age and Eligibility:
I, undersigned, confirm that my child will be both (a) 15 years of age and (b) a rising sophomore, junior, or senior by the start of the program.




Questions? Please contact Sandy Richardson
(203) 254-4000 ext. 2911 | precollege@fairfield.edu
www.fairfield.edu/precollege