Request an Individual Campus Visit

Important: If you are under the age of thirteen, please have your parent or guardian complete this form.

Thank you for your interest in Simon's Rock. Please use the form below to request an individual campus visit, available Monday through Friday. Unfortunately, we are unable to accommodate overnight visits. If you would like to visit within the next three business days, please call us at 800-235-7186.

Your Information   ( * = required field)
Student First Name
*

Student Middle Name
Student Last Name
*

Usually Called
Gender
Street Address
*

City
*

State/Province
*

Zip Code
*

Country
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.

Phone
 
Date of Birth:
Month
*

Day
*

Year
*

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
        country/ies:
Hispanic, Latino/Latina
        country/ies:
Mexican American, Chicano/Chicana
Native Hawaiian, Pacific Islander
Puerto Rican
Unknown
White, Caucasian
Other       specify:
How did you hear about Simon's Rock?
Preferred Date
Since we are able to accommodate a limited number of visitors per day, visits are scheduled on a first come, first served basis. Please select your first choice and alternate date you wish to visit.
Note: Individual visits are available Monday though Friday only.
First Choice
Month:

Day

Year

Alternate Choice
Month

Day

Year

Visit Type
We typically schedule campus visits to include a campus tour, a meal in our dining hall, an interview with one of the members of our admission staff, and a class visit (during the academic year), however this is flexible. Please let us know what you'd like to see and do while you're on campus.
Check all that apply:
campus tour
admission interview/question & answer time with admission staff
class visit (while classes are in session)
meal in dining hall (while classes are in session)

Preferred Arrival Time
A full visit, including sitting in on a class, an interview and a campus tour will take several hours and generally requires a morning arrival time.
Please let us know when you would like to start your visit:
early- to mid-morning
mid- to late morning
late morning to early afternoon
early- to mid-afternoon
mid- to late-afternoon
no time preference

YES, put me on your mailing list.
I have additional questions. Please have my admission counselor contact me.
Please note questions and comments here: