Apply for Admission

Application Form

Thank you for your interest in Embeko Secondary School. Please complete the application form below to begin the admission process.

All fields marked with an asterisk (*) are required. After submitting your application, our admissions team will review your information and contact you regarding the next steps in the process.

If you prefer to download the application form and submit it in person, please visit our downloads page.

Student Information

First Name *

Please provide a first name.

Middle Name

Last Name *

Please provide a last name.

Date of Birth *

Please provide a date of birth.

Gender *

Please select a gender.

Nationality *

Please provide nationality.

Academic Information

Applying For *

Please select a class.

Academic Year *

Please select an academic year.

Previous School *

Please provide previous school name.

Previous Class Completed *

Please provide previous class completed.

Parent/Guardian Information

Parent/Guardian Name *

Please provide parent/guardian name.

Relationship to Student *

Please select a relationship.

Phone Number *

Please provide a phone number.

Email Address *

Please provide a valid email address.

Physical Address *

Please provide an address.

Additional Information

Does the student have any special needs or requirements?

How did you hear about Embeko Secondary School? *

Please select an option.

I confirm that all information provided is accurate and complete. I understand that providing false information may result in the cancellation of the application or admission. *

You must agree before submitting.