The Rothman Scholar Inquiry Form

Rothman Scholar Inquiry Form

"*" indicates required fields

Thank you for your interest in The Rothman Scholar Program at The Park School of Baltimore.

Please complete the inquiry form below. You will be contacted within two business days with additional information about completing the application process.
Parent/Guardian Name*
Student Name*
Student's Home Address*
Note: In most cases, only applicants with household incomes up to $85,000 will be considered for the Rothman Scholar Program. Proof of income is required to determine eligibility and approval for application fee waivers (2021 tax documents should be emailed to for initial review).

Please provide your best estimation of academic grades earned on the student's most recent report card according to the scale provided below.

English/Language Arts*
History/Social Studies*
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