Reservation for Discovery Day

Thank you for your interest in Simon's Rock. Please use the form below to register for a Discovery Day

Your Information   ( * = required field)
Student First Name

Student Middle Name
Student Last Name

Usually Called
Street Address



Zip Code

Student Email
We won't ask you to type it twice (we know you hate that), but we do ask that you enter your email address carefully, as it is our primary mode of contact.


Date of Birth:



High School

High School City/Town
High School State/Province
High School Country
Anticipated Year of Graduation

Academic Interests
Extra Curricular Interests
Ethnic Background (Optional)
Please check all that apply
African American, Black
American Indian, Alaska Native
        tribal affiliation:   enrolled:
Asian American
        country/ies of family's origin:
Asian, including the Indian Subcontinent
Hispanic, Latino/Latina
Mexican American, Chicano/Chicana
Native Hawaiian, Pacific Islander
Puerto Rican
White, Caucasian
Other       specify:
How did you hear about Simon's Rock?
Upcoming Discovery Days
Please select the Discovery Day you wish to attend. Confirmation letters are sent approximately three weeks prior to the event. We will contact you by phone if space is no longer available and rescheduling is necessary.

Interview request
Admission interviews are a required part of the application and are available on Discovery Days. About two weeks prior to Discovery Day, you will receive a confirmation letter; at this point please contact us as instructed if you would like to schedule an interview. First preference is given to those students who have started an application, and those traveling great distances. However, we do our best to make an interview available to all interested visitors.
YES, put me on your mailing list.
I have additional questions. Please have my admission counselor contact me.
Please note questions and comments here: