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Interested in Learning More
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Pre Prep
Early Prep
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This form requires Javascript to be enabled for submission and authorization.
*
Required
2022-2023 Student Application
Student Information/Información del estudiante
Student Name (Nombre del estudiante)
*
required
First Name (Primer Nombre)
Middle Name (Nombre de segundo) (optional)
Last Name (Apellido)
Gender (Género)
*
required
Female
Male
Date of Birth (Fecha de nacimiento)
*
required
Must contain a date in M/D/YYYY format
Grade Applying for (Grado al que solicita)
*
required
PreKindergarten (PreK)
Kindergarten (K)
Grade 1
Grade 2
Grade 3
I have another child attending this charter school. (Tengo otro hijo que asiste a esta escuela charter)
*
required
Please select up to 1 choice
Yes (si)
No (no)
Please select up to 1 choice
If yes, please enter the name of the student's sibling.(En caso sí, ingrese el nombre del hermano.)
This is a child of a staff or board member.(Este es un hijo de un miembro del personal o de la junta)
*
required
Please select up to 1 choice
Yes (si)
No (no)
Please select up to 1 choice
If yes, please enter the name of the staff or board member.(En caso sí, ingrese el nombre el personal o el miembro de la junta)
Primary Guardian Information (Tutor Legal)
Primary Guardian Information (Tutor Legal)
*
required
First Name (Primer Nombre)
Last Name (Apellido)
Street Address of Primary Residence (Dirección de la residencia principal)
*
required
City (Ciudad)
*
required
State (Estado)
*
required
Zip Code (Código postal)
*
required
Email Address
Contact Phone Number (Teléfono de contacto)*
*
required
Application Certification
*
required
CERTIFICATION (Required): By checking this box, I certify to the best of my knowledge and belief that the information in this application is complete and accurate, I am the legal guardian of the child listed above, and I understand that any false information, omission, or misrepresentation of facts may result in the rejection of this application or future dismissal of the applicant.
CERTIFICACION (Requerida): Al marcar esta casilla, certifico a mi leal saber y entender que la información en esta solicitud es completa y precisa, soy el tutor legal del niño mencionado anteriormente, y entiendo que cualquier información falsa, omisión, o la tergiversación de los hechos puede resultar en el rechazo de esta solicitud o en el futuro despido del solicitante. This school does not discriminate on the basis of sex, national origin, ethnicity, religion, disability, or academic or athletic ability. (Esta escuela no discrimina por sexo, origen nacional, etnia, religión, discapacidad, or capacidad académica o atlétic
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