indicates required fields
Tell us about yourself! Please fill out the form below:
Student Information
Full Name
First
Middle
Last
Jr
Sr
II
III
IV
V
VI
VII
VIII
Suffix
Preferred Name
Date of Birth
mm/dd/yyyy
Student Email Address
Email Address
Student Cell Phone
Cell Phone
SMS Opt In
By selecting yes, you are agreeing to receive informational SMS text messages from Suffield Academy. Notification frequency varies. Message & data rates may apply. To opt-out of all SMS notifications from this organization, select no or text STOP to 1-855-842-9342.
Yes
No
Which of the following most accurately describes you?
Current Grade
5th
6th
7th
8th
9th
10th
11th
12th
PG
Current School
Interested in Grade
9th
10th
11th
12th
PG
For the Academic Year
2025-2026
2026-2027
2027-2028
2028-2029
2029-2030
Boarding or Day Student
Boarding Schools
Day Schools
Are you an international student?
Yes
No
Do you have relatives who are Suffield Academy graduates?
Yes
No
Suffield Academy Legacy Student
Please list name[s] and graduation year[s]:
Are you a sibling of a graduate or current student?
Yes
No
Suffield Academy Families
Please list name[s] and graduation year[s]:
Are you interested in Financial Aid?
Yes
No
Current School
Academy Hill School
Allen-Stevenson School
Applewild School
Aspen Country Day School
Beacon Academy
Bement School
Berkshire Country Day School
Buckley School
Cadral School for Boys
Cardigan Mountain School
Charlotte Country Day School
Country School
De La Salle Academy
Derby Academy
Dutchess Day School
Eaglebrook School
East Woods School
Elisabeth Morrow School
Fairfield Country Day School
Far Hills Country Day School
Fay School
Fenn School
Fessenden School
Foote School
Green Vale School
Greens Farms Academy
Greenwich Country Day School
Hillside School
Independent Day School
Indian Mountain School
Jumoke Honors Academy
Lake Forest Country Day
Mooreland Hill
New Canaan Country Day School
New Canaan Country School
Palm Beach Day Academy
Pike School
Rectory School
Renbrook School
Ridgefield Academy
Rippowam Cisqua School
Robert Treat Academy Charter School
Rumsey Hall School
Rumson Country Day School
Rye Country Day School
Saint David's School
Saltus Grammar School
Shore Country Day School
St. Bernard's School
St. David's School
Suffield High School
Suffield Middle School
Talcott Mountain Academy
Town School
Town School for Boys
Tuxedo Park School
Unquowa School
Whitby School
Windward School
Other
Current School
Parent/Guardian Information
Parent/Guardian [1] Name
Full Name
Mr.
Mrs.
Ms.
Dr.
Miss
Rev.
Prof.
Title
First
Middle
Last
Jr
Sr
II
III
IV
V
VI
VII
VIII
Suffix
Preferred Name
Parent/Guardian [1] Relationship to Student
Relationship to Student
Mother
Father
Stepmother
Stepfather
Grandmother
Grandfather
Guardian
Parent/Guardian [1] Preferred Phone
Primary Phone
Cell
Home
Work
Type
Number
SMS Opt In
By selecting yes, you are agreeing to receive informational SMS text messages from Suffield Academy. Notification frequency varies. Message & data rates may apply. To opt-out of all SMS notifications from this organization, select no or text STOP to 1-855-842-9342.
Yes
No
Parent/Guardian [1] Secondary Phone
Secondary Phone
Cell
Home
Work
Type
Number
SMS Opt In
By selecting yes, you are agreeing to receive informational SMS text messages from Suffield Academy. Notification frequency varies. Message & data rates may apply. To opt-out of all SMS notifications from this organization, select no or text STOP to 1-855-842-9342.
Yes
No
Parent/Guardian [1] Email Address
Email
Primary Household Address
Mailing Address
Is there a second parent or legal guardian in this household?
Yes
No
Parent/Guardian [2] Name
Full Name
Mr.
Mrs.
Ms.
Dr.
Miss
Rev.
Prof.
Title
First
Middle
Last
Jr
Sr
II
III
IV
V
VI
VII
VIII
Suffix
Preferred Name
Parent/Guardian [2] Relationship to Student
Relationship to Student
Mother
Father
Stepmother
Stepfather
Grandmother
Grandfather
Guardian
Parent/Guardian [2] Preferred Phone
Primary Phone
Cell
Home
Work
Type
Number
SMS Opt In
By selecting yes, you are agreeing to receive informational SMS text messages from Suffield Academy. Notification frequency varies. Message & data rates may apply. To opt-out of all SMS notifications from this organization, select no or text STOP to 1-855-842-9342.
Yes
No
Parent/Guardian [2] Secondary Phone
Secondary Phone
Cell
Home
Work
Type
Number
SMS Opt In
By selecting yes, you are agreeing to receive informational SMS text messages from Suffield Academy. Notification frequency varies. Message & data rates may apply. To opt-out of all SMS notifications from this organization, select no or text STOP to 1-855-842-9342.
Yes
No
Parent/Guardian [2] Email Address
Email
Broadening Horizons
Athletics
Are you an Athlete?
Yes
No
Please list sports you play and/or have an interest in by season:
Fall Sport
Football
Soccer
Cross Country
Field Hockey
Volleyball
Water Polo
Winter Sport
Alpine Skiing
Basketball
Dance
Riflery
Squash
Swimming
Wrestling
Spring Sport
Baseball
Crew
Golf
Lacrosse
Softball
Tennis
Track & Field
Please list club/AAU team[s]
Coach’s Name
Mr.
Mrs.
Ms.
Dr.
Miss
Rev.
Prof.
Title
First
Last
Coach’s Email
Do you have an athletics recruiting social media account and/or website?
Yes
No
Instagram / X
Social media handle[s] and/or website URL
Would you like to add an additional club/team?
Yes
No
Club/AAU team
Coach’s Name
Mr.
Mrs.
Ms.
Dr.
Miss
Rev.
Prof.
Title
First
Last
Coach’s Email
Do you have an athletics recruiting social media account and/or website?
Yes
No
Instagram / X
Social media handle[s] and/or website URL
The Arts
Are you an artist?
Yes
No
Do you have an online portfolio?
Yes
No
Instagram / X
Social media handle[s] and/or website URL
Your Interests
Academic Subject[s]
Math
Science
STEM
History
English
Modern Languages
Computer Science
Clubs & Activities
Student Government
School Newspaper (The Bell)
Leadership
Yearbook
Community Service
Outdoor Club (SOLO)
Model UN
DEI Initiatives
Dance
Music (instrumental)
Music (vocal)
Visual Arts
Performing Arts
Theater (performance and technical)
Are you interested in meeting with a Coach, Department Head or Club?
Yes
No
Select ANY that Apply
Athletics
Departments
Clubs
Athletics Choice One
Baseball
Basketball (Boys)
Basketball (Girls)
Crew
Cross Country (Boys)
Cross Country (Girls)
Diving
Field Hockey
Football
Golf
Lacrosse (Boys)
Lacrosse (Girls)
Riflery
Skiing
Softball
Squash (Boys)
Squash (Girls)
Soccer(Boys)
Soccer(Girls)
Swimming
Tennis (Boys)
Tennis (Girls)
Track
Volleyball
Water Polo (Boys)
Water Polo (Girls)
Wrestling
Yoga
Athletics Choice Two
Baseball
Basketball (Boys)
Basketball (Girls)
Crew
Cross Country (Boys)
Cross Country (Girls)
Diving
Field Hockey
Football
Golf
Lacrosse (Boys)
Lacrosse (Girls)
Riflery
Skiing
Softball
Squash (Boys)
Squash (Girls)
Soccer(Boys)
Soccer(Girls)
Swimming
Tennis (Boys)
Tennis (Girls)
Track
Volleyball
Water Polo (Boys)
Water Polo (Girls)
Wrestling
Yoga
Departments Choice One
Admissions
Biology
Ceramics
Chemistry
Engineering
English
French
History
Languages
Leadership
Mandarin/Chinese
Math
Photography
Physics
Singing
Spanish
Stage Crew
Technology
Theater / Performing Arts
Visual Arts
Departments Choice Two
Admissions
Biology
Ceramics
Chemistry
Engineering
English
French
History
Languages
Leadership
Mandarin/Chinese
Math
Photography
Physics
Singing
Spanish
Stage Crew
Technology
Theater / Performing Arts
Visual Arts
Clubs Choice One
Book Club
Chinese Club
Christian Fellowship
Community Service
Girl UP
Girls for STEM
GSA – Gay Straight Alliance
Helping Hands Club
Investment Club
Jewish Organization of Students (JOS)
Knitting Club
Model UN
Multi-Cultural Association [Kaleidoscope]
Pen Pal
Political Action Club
Quiz Team
School’s Newspaper
Special Olympics
Student Council/Government
TREE Club
Yearbook
Clubs Choice Two
Book Club
Chinese Club
Christian Fellowship
Community Service
Girl UP
Girls for STEM
GSA – Gay Straight Alliance
Helping Hands Club
Investment Club
Jewish Organization of Students (JOS)
Knitting Club
Model UN
Multi-Cultural Association [Kaleidoscope]
Pen Pal
Political Action Club
Quiz Team
School’s Newspaper
Special Olympics
Student Council/Government
TREE Club
Yearbook
Thanks for reaching out! Out of curiosity...
How did you hear about Suffield Academy?
Friend
Website
School Visit
Social Media
Current School
Referral
Reception/Fair
Alumnus/Past Parent
Educational Consultant
Community Based or Access Organization
Other
Please specify:
Referral’s Name
Alumnus Name
Educational Consultant’s Name
Thank you for your interest in Suffield Academy—we look forward to meeting you!
Please call us at 860-386-4440 or email
admissions@suffieldacademy.org
to schedule a campus tour and interview.