Request Information

Let Brookfield Academy - West Bloomfield know that you are interested in learning about their school. Provide your information below to request this school's viewbook and application. Your request will typically be processed within 24 hours. If you have more specific questions for this school, please use our Email Schools form instead.

Notes for Prospective Students

Once a family requests information from Brookfield Academy an information packet is mailed to the address given. Following the reciept of the packet our Business Manager, Denise Calvert, or our principal, Lisa Winkel, will call you to make sure that you have your information and to ask if you have any questions or would like a tour of the school. Tours may be scheduled at any time during the school day and are the best way to evaluate our program.

Student Information

Email:

Name of parent:

Student first name:

Student last name:

Student date of birth:

Student is:

Male

Female

Currently in grade:

Seeking entry for grade:

Target start date:

About the Student

Please briefly describe academic, athletic, and extracurricular interests of the student:

Address and Telephone Number

Home address:

City:

Country:

State:

Zip: (enter "N/A" if not applicable)

Phone:

Save this data and create your user profile. Create your own user account so you don't have to re-type your user data each time you request information. You'll also be able to track your information requests, get reminded of application dates, and more!

Username:

Password: