Virtual Eleanor Roosevelt High School Visit

Student Profile

Legal First Name*

Middle Name

Last Name*

Chosen or Preferred Name

Email Address*

Birthdate

Academic Profile

School Name*

School Code*

Graduation Date

I am a prospective...*

First Year Entry Term*

Transfer Entry Term*

Academic Interests

This is the end of the short form.
To provide more information, check the box below.

I want to provide more information (mailing address, phone number, etc)

Additional Information

Pronouns (optional)

Gender Identity (optional)

Additional Information Regarding Self-Identify Gender (Optional)

Preferred Phone*

Phone Type*

Mailing Address*

Country

Street

City

Region

Postal Code

Country of Citizenship

Are you hispanic or latino?

Yes

No

Regardless of your answer to the prior question, please indicate how you identify yourself. (Select one or more)

I would like to be recruited by a coach:

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No

Legal Sex*

Please select a legal sex to generate a list of sports.

Are you interested in the 5 year dual-degree program in the Bard Conservatory of Music?

Yes

No

Voice Type*