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Southfields Academy
Southfields Academy
Initial Registration
Application form
Student Registration
Student First name
*
Student Last Name
*
Student Gender
*
Other
Female
Male
Student Date of Birth
*
Current Year Group
*
Year 7
Year 6
Year 13
Year 12
Year 11
Are you an internal applicant?
*
If you are currently attending a different school, you are NOT an internal student
Yes
No
Education
Your Current School
Yes
No
Tick here if you can't find the school
Your school name
Home schooled
School outside UK
Please specify location
Login Details
Your Email Address
*
Confirm Your Email Address
*
Create a Password
*
Password must be at least 8 characters long including both number, uppercase and lowercase characters.
Confirm Password
*
I agree to Southfields Academy's Privacy Policy
*
I agree to Applicaa's Privacy Policy (Applicaa is the provider of the online form)
*