Schedule a Shadow Visit - Purcell Marian High School

Preferred Date

Pick a Date*

Purcell Marian will host winter and spring shadow visits on Tuesdays, Wednesdays, and Thursdays starting January 12.

To schedule an appointment directly please email dellington@purcellmarian.org or call 513.751.1230 ext. 128.

Student Information

First Name*

First

Middle Name*

Middle

Last Name*

Last

Nickname

Suffix

Date of Birth*

Gender

Current School*

Home Address

Street Address

City

State

ZIP Code

Student Cell Number*

Your PM student ambassador will contact you prior to your Shadow Day.

Parent Information

Parent/Guardian #1 Name*

First

Last

Parent/Guardian #1 Email*

Parent/Guardian #1 Preferred Phone Number*

Parent/Guardian #2 Name

First

Last

Parent/Guardian #2 Email

Parent/Guardian #2 Preferred Phone Number

Emergency Information

Please provide the following emergency contact information which will be used if a parent / guardian cannot be reached.

Emergency Contact's Name*

First

Last

Emergency Contact's Phone*

Special Accommodations

If your student requires any specific accommodations during their shadow visit to Purcell Marian or has specific needs, please let us know.

Legacy Information

Does the student have a relative (mother, father, sister, brother, aunt, uncle, or cousin) who is a graduate of Purcell Marian High School?*

Yes
No

If yes, please provide name(s)

Student Areas of Interest

Check all that apply

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Class of 2027 Shadow Visits

Purcell Marian will host Winter and Spring Shadow visits on Tuesdays, Wednesdays, and Thursdays starting January 12.

7:30 am-2:35 pm.

Request a Shadow Visit

Preferred Date

Student Information

Parent Information

Emergency Information

Legacy Information

Student Areas of Interest

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