A deposit of $150 per person is required on application. You will have an opportunity to make your Summer Session course selections on the next page. Applications are accepted until June 1.

Each student must complete a separate application.

Principia Lifelong Learning programs are open to all adult Christian Scientists and all Principia alumni, as well as their spouses.
Name

First*

Middle Initial

Last*
I like to be called:

I am an alum.
I am a Christian Scientist.
Home Address
Street*
City*

State*
Zip
Country:
Phone H*:
 W:
E-mail*
  Fax:

Alternate Address
Street
City

State
Zip
Country:
Phone:
Dates in use:

Emergency Information* If in need, call (a relative, practitioner, friend).
Home Phone:
Work or Cell Phone:
Accommodations
First, please share your length of stay:
  Two Weeks Week One Only  
  Week Two Only  
Then, tell us what kind of housing you would like (A/C=air conditioned):
  Two Weeks One Week  
Double non-A/C
$1,955
$1,225
  per person
Double A/C
$2,135
$1,335
  per person
Single non-A/C
$2,135
$1,335
  
Single A/C, small
$2,495
$1,520
  
Single A/C, large
$2,755
$1,695
  
Day Student
$925
$630
  

For Guest House pricing, please call the Lifelong Learning Office at 800.277.4648, ext. 2829.
COUPLES: Would you prefer a room closer to the Men's or Women's bathroom?
Men's and women's bathrooms could be on different floors.

Roommate Request
I'd like to room with
Choose a roommate for me.
Travel Information for Summer Session
I will fly to St. Louis. I will drive to Elsah. I'd like driving directions.

Asterisk (*) indicates a required field