Somerset Academy Elementary (Miramar Campus)

& Somerset Academy Miramar South

Welcome to the Application Page

By submitting this form, you are applying to both Somerset Academy Elementary 5405 & Somerset Academy Miramar South 5054
For your convenience, this will automatically double your chance of selection.

Student Information

Incoming Grade Level *

Student First Name *

Student Middle Name

Student Last Name *

Incoming School Year *

Student Date of Birth *

Sex *

Has the student ever attended public school? *

Name of School or Preschool the Student is Currently Attending*

If not applicable, enter "N/A" above.

Student Address 1 *

Student Address 2

City *

State *

Zip Code *

Parent/Guardian Information

Parent/Guardian 1 First Name *

Parent/Guardian 1 Last Name *

Parent/Guardian 1 Email *

Parent/Guardian 1 Phone Number *

Parent/Guardian 1 Alternate Phone Number

Is there a second Parent/Guardian you would like to enter? *

Is any parent/guardian of this student active in the military?

Additional Information

Is the student a sibling of a current student? *

By selecting Yes above, you are confirming that the student you are applying for has a sibling who already attends the school.

Sibling First Name *

Sibling Last Name *

Sibling Student ID# *

If not known, enter “Unknown”.

Sibling Grade Level *

Do you have any other school age siblings for whom you are submitting applications? *

How did you learn about our school? *

What interested you in our school? *

Signature of Parent/Guardian who Filled Out Application *