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Fairfield Academy Application (High School Only)
This application should only be completed after a student has spoken to his/her guidance counselor. Once submitted, an Academy administrator will be in contact with you. Thanks for applying!
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* Indicates required question
Email
*
Your email
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Student ID #
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Grade level (for the 2023-2024 school year)
*
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student Email
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Email
Your answer
Parent Phone Number
*
Your answer
Address
*
Your answer
Do you have internet access outside of school?
*
Yes
No
Other:
Please indicate which program(s) you are interested in:
*
In-person - Half Days
In-Person - Full Days (Full day is for 9th graders only)
Academy Virtual School
Required
Are you involved in any extracurricular school activities or sports? (If "Yes", please List)
*
Your answer
Please tell us
why
are you interested in attending the Academy? Explain in 1 to 2 sentences.
*
Your answer
How did you hear about the Academy?
Teacher
Principal
Counselor
Friend
Sibling
Other:
Pease provide an additional information you would like to share:
Your answer
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