Request More Information Please fill out this form and a Wentworth admissions rep will be in contact with you shortly. Interested In*High SchoolCollegeCollege Choices*Boarding CadetCommuterHigh School Choices*Boarding CadetSummer CampWhich campus are you interested in attending?*LexingtonCameronHermitageLamarOn Line Classes OnlyWhat academic year do you plan on enrolling?*2015-162016-172017-18What grade level will you be enrolling?*09101112What term do you plan on enrolling?*FallSpringSummerWhat term do you plan on enrolling?*FallSpringWhat summer do you plan to attend*201620172018Which session are you interested in attending?*Camp LEAD (5 Weeks)Camp LEAD (3 Weeks)Intensive ESL (3 Weeks)Are you looking to earn a degree or are you non degree seeking?Associate of ArtsAssociate of ScienceNon Degree SeekingName of Individual Filling out this Form*Relation to the ApplicantParentGuardianOtherPrimary Parent/Guardian Primary Phone*Student's Last Name*Student's First Name*Last Name*First Name*Email - Please enter the email address you would like to be contacted at* Primary Phone*Address*City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificOtherZip/Postal CodeGender*MaleFemaleBirth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If you are interested in playing a sport, please mark your primary sport choice (one sport only please) Men's Basketball Women's Basketball Men's Soccer Women's Volleyball Wrestling Baseball Cross Country Band SROTC ECP Check all sports/activities you would be interested in participating Football Volleyball Boy's Basketball Girl's Basketball Wrestling Track & Field Cross Country Tennis Band How did you hear about Wentworth Military Academy & College?*Captcha NameThis field is for validation purposes and should be left unchanged.