2022 Application Form Overview Dates & Tuition Sample Itinerary Student Life Videos Faqs Apply Now Application for National History Academy For Rising 10th, 11th, and 12th Grade Students Student InformationStudent Name* First Last Age*Gender*FemaleMaleOther genderAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Student Email* Student Phone*Academic InformationHigh School* My School is a:*Traditional public schoolMagnet SchoolCharter SchoolPrivate SchoolOnline/Virtual SchoolBoarding SchoolI am homeschooledOtherGrade level for the 2022/2023 school year:*Grade 9Grade 10Grade 11Grade 122022 HS graduateCurrent GPA*If your school does not use a 4.0 GPA scale, please indicate the scale. Please also indicate if your GPA is weighted. GPA Scale / Weight AP US History Exam Score AP World History Exam Score PSAT Score SAT Score ACT Score How did you hear about the National History Academy?*Direct emailOnline SearchGoogle adBanner ad on a websiteWebsiteInstagramFacebookWord of MouthSchool Guidance Counselor or TeacherCareer Technical Student OrganizationHomeschool AssociationOtherEssay QuestionPlease answer one of these questions.* Which historical site has had the biggest impact on your life? Why? Which historical site would you most like to visit? Why? Answer (2 paragraphs)*Parent InformationParent/Guardian Name* First Last Email* Phone*Best time to call*MorningAfternoonEveningFinancial AidFinancial aid is available on a need-basis. Students who indicate they are applying for financial aid must complete the following section in full. This information will not be shared, but is required to determine eligibility.Do you plan to apply for need-based financial aid?* No, I do not plan to apply Yes, I plan to apply Annual Household Income Size of Household Please indicate the number of adults, children, grandparents, etc. residing in the house. Do you currently receive free or reduced lunch at school? Yes No Parent/guardian 1 place of employment Parent/guardian 2 place of employment What amount of tuition are you able to pay? Do you have any special circumstances we should be aware of as we evaluate your request for financial aid?Health and SafetyDue to COVID-19, NHA participants will be required to follow CDC guidelines, which includes providing proof of vaccination status, wearing a mask when required, and social distancing when necessary.Vaccination Status First vaccine Second vaccine Booster vaccine Please indicate which COVID-19 vaccines you have received. Proof of both vaccines and a booster are required before students arrive on campus.ConfirmationI confirm that the information supplied above is accurate. Student Signature*Parent Signature* Overview Dates & Tuition Sample Itinerary Student Life Videos Faqs Apply Now
National History Academy