Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Fairfield Academy Application (High School Only)
This application should only be completed after a student has spoken to his/her guidance counselor. Once submitted, someone will be in contact with you within a few days. Thanks for applying!
Sign in to Google
to save your progress.
Learn more
* 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 2024-2025 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
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
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Fairfield City Schools.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report
