Thank you for your interest in Rockbridge Academy. Please complete this application and send the following items to: Rockbridge Academy, 911 Generals Hwy., Millersville, MD 21108.
  • A check for the application fee of $150 (non-refundable) or you may pay by credit card through our online store
  • Previous report cards and / or transcript
  • Standardized testing results
Student Information:
Student's Full Name:
Nickname:
Mailing Address:
City:
State:
Zip Code:
Phone:
Date of Birth:
Current grade:
Applying for Grade:
Applying for Year:
Gender:
Has the applicant applied to our
school before?
If Yes, which
grade / year?		 /
 
Current School:
Name:
Mailing Address:
City:
State:
Zip:
Contact Person and Title:
Contact Phone:
 
General Parent/Guardian Information:
Parents are: Married Divorced
Separated Single Parent
Mother Remarried Father Remarried
Mother Deceased Father Deceased
Send Admissions Office Correspondence to: Both Parents / Guardians listed below
Other
 
Parent/Guardian 1:
Name:
Nickname:
Relationship to Student:
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Home E-mail:
Work E-mail:
Church Attending:
Member of Church?
Place of Employment / Type of Business:
Occupation / Position:
College Education:
College Name State Year Degree Specialization
 
Parent/Guardian 2:
Name:
Nickname:
Relationship to Student:
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Home E-mail:
Work E-mail:
Church Attending:
Member of Church?
Place of Employment / Type of Business:
Occupation / Position:
College Education:
College Name State Year Degree Specialization
 
Paternal Grandparent(s)
Name(s):
Address:
City:
State:
Zip Code:
Home Phone:
E-mail:
 
Maternal Grandparent(s)
Name(s):
Address:
City:
State:
Zip Code:
Home Phone:
E-mail:
 
Siblings
Name Birth Date Current School Grade Level
 
Other Rockbridge Affiliations
Other than siblings, please list relatives or friends who attend(ed) or have been affiliated with Rockbridge Academy:
Name Relationship Year graduation, current grade,
or affiliation
 
Questions / Hobbies
What characteristics of our school interest your family, and why is our school a good match for the applicant?

Please list the applicant's interests, hobbies, and talents — in and out of school — related to academics, arts, music, athletics, church, community service, clubs, and organizations, etc.
 
For applicants to grade 5 and higher, please submit via US mail or facsimile a one- to two-paragraph hand-written essay by the applicant entitled "Why I Want to Attend Rockbridge Academy." Mail the essay to the attention of Amy Boswell, Rockbridge Academy, 911 Generals Hwy, Millersville, MD, 21108 or fax to 410.923.6588.
 
Authorization
We (I) affirm that the information provided in this application is true to the best of our(my) knowledge:
Name(s) of Person(s) completing this online application:
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This application is due by the third Friday in January for consideration for placement in the upcoming school year. Applications received after this date will be considered on a case-by-case basis. Applying after the third Friday in January will likely result in placement on a class waiting list.

Please complete a seperate application for each student.

Rockbridge Academy Inc. admits students of any race color, national, or ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national or ethnic origin in the administration of its educational policies, admission policies, scholarship, and/or loan programs, athletic, and other school-administered programs.
   

 
 
911 Generals Hwy, Millersville, MD 21108 - P: 410-923-1171 - learning@rockbridge.org