Olin 2021 Mix & Mingle Fly-In Counselor Nomination Form

Counselor Information

*denotes a required field

Please provide your name and contact information below.

First Name*

Last Name*

Job Title*

Organization/School Name*

Email Address*

Work Phone Number*

Best Phone Number To Reach You (if different from work)

Student's Information

Please provide contact information below for the student you would like to nominate for a fly-in to Olin. If you would like to nominate more than one student, please submit a separate form for each student.

Student First Name*

Student Preferred Name

Student Last Name*

Student Email Address*

Confirm Student Email Address*

Student Address*

Country

Street

City

Region

Postal Code

Student Birthdate*

Student's Sex assigned at birth*

Female

Male

Student's Education Information

Planned College Enrollment Year* (Please note that Olin's fly-in program is limited to high school seniors and other students who plan to begin college in Fall 2022.)

Is this student homeschooled?*

Yes

Current or most recent high school attended: (If the student's school is not listed, please type the full name of the school.)*

High School CEEB Code*

Will this student be a first-generation college student? (Neither of their parents holds a Bachelor's degree. If you are unsure, please leave this blank.)

Yes

Program Eligibility

Please indicate if any of the following statements applies to the student (you may select more than one)*

Enrolled in or eligible to participate in the Federal Free or Reduced Price Lunch program (FRPL)

Has received or eligible to receive an ACT or SAT testing fee waiver

Will be eligible to receive a Common Application or Coalition fee waiver

Other circumstances that would make visiting Olin financially inaccessible

If you selected "Other circumstances that would make visiting Olin financially inaccessible," please specify*

Student's Academic Details

Please use the spaces below to report your GPA scale and the student's cumulative GPA

GPA Scale (e.g. 4.0, 6.0, 100)*

Student's GPA*

High School Transcript

In order for a student to be considered for our fly-in program, we must receive a copy of the student's high school transcript (including performance through the end of their junior year) by Monday, September 20, 2021. We will accept an official or unofficial copy. Student nominations for the fly-in program are not complete until we receive their high school transcript.

Please indicate when you will be uploading the student's transcript*

I am able to upload the student's transcript now

I do not have access to the student's transcript at this time

Upload student's transcript*

Transcripts must be received by Monday, September 20, 2021 in order for students to be considered for the fly-in program. Please upload the student's transcript by this date by accessing your nomination form using the link found in the confirmation email you received after submitting this nomination form.

Test Scores

If you wish, you may also submit the student's test scores, but test scores are optional. Test Scores will be optional for the 2021-2022 Admission Cycle and are not a requirement for the Fly-In program.

Will you be reporting test scores for this student?*

Yes, I will be reporting test scores for this student.

No, I will not be reporting test scores for this student.

I am unable to report test scores for this student at this time, but I plan to later.

Which test scores will you report for this student?*
(Please check all that apply. You will be prompted to report the scores for the tests you select.)

Highest ACT Math Score*

Highest ACT English Score*

Highest ACT Science Score*

Highest SAT Math Score*

Highest SAT EBRW Score*

Highest PSAT Math Score*

Highest PSAT EBRW Score*

Name of SAT Subject Test 1*

Highest Score (Subject Test 1)*

Name of SAT Subject Test 2

Highest Score (Subject Test 2)

Name of SAT Subject Test 3

Highest Score (Subject Test 3)

Name of AP Exam 1*

Highest Score (AP Exam 1)*

Name of AP Exam 2

Highest Score (AP Exam 2)

Name of AP Exam 3

Highest Score (AP Exam 3)

Additional Information

In the space below, please share any additional information or context you feel would be helpful for us to know about this student and their potential fit for the Olin community and curriculum.

Olin College

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Olin 2021 Mix & Mingle Fly-In Counselor Nomination Form