Enrollment Applications

Enrollment Application

First Name

Last Name

Address

Apt, Suite, Bldg. (optional)

City

State

Zip Code

Country

Date of Birth:

Grade Applying For:

Grade Currently In:

School Currently Attending

PARENT / GUARDIAN INFORMATION

First Name:

Last Name:

Phone

Email

Relationship to Child:

SECOND PARENT / GUARDIAN

First Name:

Last Name:

Phone

Email

Relationship to Child:

Applicant Information

Does the above applicant have a brother or sister currently enrolled in the school?

Yes

No

If yes, please provide the brother or sister's name:

Is another brother or sister also applying on a separate form?

Yes

No

If yes, please provide the brother or sister's name:

I affirm that the information contained in this application is, to my knowledge, completely true:

Yes

No

I agree that my child’s school records may be used for studies on the effectiveness of public charter schools. If the studies are publicized, only group data, not student level data, will be reported. Sensitive student information will remain confidential

Yes

No

Where did you hear about us?

TV

Radio

Family or Friend