Free Charter School Admission Form

Please complete this form to assess and understand the needs, interests, and preferences of students and families.
Student Information
Name
Date of Birth
Gender
Male
Female
Grade Level Applying For
Previous School Attended
Parent/Guardian Information
Parent/Guardian Name
Relationship to Student
Phone number
Occupation
Emergency Contact Information
Emergency Contact Name
Relationship to Student
Phone number
Academic and Health Information
Does the student have any learning or developmental needs?
Does the student have any medical condition?
Are you interested in after-school programs?
Agreement
I affirm that all information provided in this application is accurate to the best of my knowledge. I understand that any false information may affect the student’s admission status.
Parent/Guardian
Name:
Date:
Admission Form Templates @ Template.net
Thank You for Your Submission!
Our admissions team will carefully review your application, and we will contact you shortly regarding the next steps.
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