Bard Academy Open House

Required fields are denoted by an asterisk (*).

Student Information

Student First Name*

Preferred Name

Student Last Name*

Student Email*

Student Date of Birth*

Have you submitted an application to Simon's Rock?

Yes

If you would like to share, what are the student's pronouns?

Country of Citizenship

Student Current Grade Level*

What is your high school graduation year?*

What grade level would you like to start at Bard Academy at Simon's Rock?*

What semester would you like to start at Bard Academy at Simon's Rock?*

Contact Information

Mailing Address*

Country

Street

City

Region

Postal Code

Cell Phone Number

Would you like to receive text messages about deadlines and admission events?

Yes

Parent/Guardian Contact Information

Relation*

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Email Address*

Does your parent/guardian live at the same address?*

Yes

Parent/Guardian Mailing Address*

Country

Street

City

Region

Postal Code

Would you like to add a second parent/guardian?*

Yes

Relation*

Second Parent/Guardian First Name*

Second Parent/Guardian Last Name*

Second Parent/Guardian Email*

Does your second parent/guardian live at the same address?*

Yes

Second Parent/Guardian Mailing Address*

Country

Street

City

Region

Postal Code

Visit Information

How many people will come along with you to the Open House?*

Name of person(s) accompanying you on the campus visit.

Phone number of person(s) accompanying you on the campus visit.

If you have any needs or special requests, please let us know in the comment box below.

Additional questions or requests