Berea College

Please download and fill out the required forms, then upload them with the required documentation below.

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If unable to upload, please email completed forms and required documentation to Frank Polion at polionf@berea.edu. If you have questions or need assistance, please call 502.640.0471.

<a href="https://legacy.berea.edu/admissions/wp-content/uploads/sites/2/2023/05/Berea-College-Health-Form-WYS-Program-2023.pdf">Berea College Health Form</a>

<a href="https://legacy.berea.edu/admissions/wp-content/uploads/sites/2/2023/05/Summer-Institute-Health-Lincoln-History-Medical-Consent-and-Immunization.pdf">Whitney Young Scholars Health Form</a>

<a href="https://legacy.berea.edu/admissions/wp-content/uploads/sites/2/2023/05/Student-WYS-Safety-Agreement.pdf">Berea College Safety Form</a>

Whitney M. YOUNG Scholars Required Forms