Vermont Academy

If you are interested in scheduling a campus tour and/or interview, please contact us at admissions@vermontacademy.org or call us at 802-869-6229

About the Student

Student Name

First

Last

Preferred Name

Student Email

Phone (xxx-xxx-xxxx)

Type

Number

Gender

Date of Birth

mm/dd/yyyy

Boarding or Day

International

Yes No

Current Grade

School Year Applying For

Interested in Grade

Current School Name

Would you like to share your athletic, academic, or artistic interests with us?

Yes No

Athletic Interests

Academic Interests

Artistic Interests

About the Primary Parent/Guardian

Parent/Guardian Name

First

Last

Relationship to Student

Parent/Guardian Primary Phone (xxx-xxx-xxxx)

Type

Number

Parent/Guardian Email

Parent/Guardian Mailing Address

Financial Aid

Will you be applying for financial aid?

Yes No

Educational Consultant

Are you working with an Educational Consultant?

Yes No

Consultant Name

First

Last

Consultant Email

Thanks for reaching out! Out of curiosity...

How did you hear about Vermont Academy?

Referral's first and last name:

Please specify