All Resident Students (New and Returning) Must Complete the Forms Required Below:

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The following documents do not need to be signed, they are for information only. Please read each document thoroughly.

2009-10 Resident Student Handbook

Boys' Packing List

Girls' Packing List

Resident House Open & Close Dates 2009-2010

Resident Student Expectations (this document must be read before signing the Resident Student Expectations Commitment form located below)

Immunization Requirements (this form must be read and the instructions for immunization records to be sent to Ben Lippen School followed prior to the first day of school on August 12, 2009)

The following forms need to be completed and/or signed by both the resident student and a parent:

Resident Student Expectation Commitment Form

Resident Student English & Church Attendance Agreement

The following forms need to be completed and/or signed by the parent(s) of the resident student:

Emergency Medical Form

Medication Consent Form

Resident Student Parental Permission Form

The front of the following form must be completed and signed by a parent; the back of the form must be completed and signed by a physician.

Health Assessment Form

The following form is optional to be completed by the resident student:

Roommate Assignment Questionnaire

Forms may be mailed to:

Debbie Austin, Resident Admissions Coordinator
Ben Lippen School
7401 Monticello Road
Columbia, SC 29203

or emailed to This e-mail address is being protected from spam bots, you need JavaScript enabled to view it