The Rothman Scholar Program Form

The Rothman Scholar Program

Thank you for your interest in The Rothman Scholar Program at The Park School of Baltimore. Welcome to the first step you will take toward a world of possibilities!

Please complete the form below. You will be contacted within two business days with additional information about completing the admission process.

Parent/Guardian Name(Required)
Student Name(Required)
Student's Home Address
Note: Proof of income is required to confirm program eligibility and application fee waivers.)

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

English/Language Arts(Required)
History/Social Studies(Required)
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