2024 Application Form

Application for National 历史 Academy

For 10th, 11th, and 12th Grade Students

2024 Residential Program Application

Student Information
Student Name*
第一个最后的。
年龄*
性别*
Address*
Street Address Address Line 2 城市 State / Province / Region ZIP / Postal Code 国家
Student 电子邮件*
Student 电话*
Academic Information
High School*
My School is a:*
What year do you anticipate graduating high school?*
Current GPA*
If your school does not use a 4.0 GPA scale, please indicate the scale. Please also indicate if your GPA is weighted.
GPA Scale / Weight
AP US 历史 Exam Score

Please enter "N/A" if you have not taken this test.
AP World 历史 Exam Score

Please enter "N/A" if you have not taken this test.
PSAT分数

Please enter "N/A" if you have not taken this test.
SAT分数

Please enter "N/A" if you have not taken this test.
行为得分

Please enter "N/A" if you have not taken this test.
How did you hear about the National 历史 Academy?*
Essay Question
Please answer one of these questions in two paragraphs.*
- Which historical site has had the biggest impact on your life? 为什么?
- Which historical site would you most like to visit? 为什么?
Answer (2 paragraphs)*
Letters of Recommendation
Letters of Recommendation are not required. If you would still like to submit a letter of recommendation, please email it to Michelle Burrelli at michelle@historycamp.com.
Parent Information
Parent/Guardian Name*
第一个最后的。
电子邮件*
电话*
Financial Aid
Financial aid is available on a need-basis. Students who indicate they are applying for financial aid must complete the following section in full. This information will not be shared, but is required to determine eligibility.
Do you plan to apply for need-based financial aid?*
- No, I do not plan to apply
- 是的, I plan to apply
Annual Household Income
Size of Household

Please indicate the number of adults, children, grandparents, etc. residing in the house.
Do you currently receive free or reduced lunch at school?
- 是的
- No
Parent/guardian 1 place of employment
Parent/guardian 2 place of employment
What amount of tuition are you able to pay?
Do you have any special circumstances we should be aware of as we evaluate your request for financial aid?
Confirmation
I confirm that the information supplied above is accurate.
Student Signature*
Parent Signature*
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