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* Required

Student Name (First, Last)*required

Date of Birth (MM/DD/YYYY)*required

Gender (choose one)*required

MaleFemaleNon-binaryPrefer not to say

Home Address (street address, city, state, zip code)*required

School District (or New York City Community School District), if known*required

Grade Applying for*required

K12345678

Does the applicant have a sibling(s) who is currently enrolled in this charter school? If yes, please provide the name of the current child. (Proof required)*required

YesNo

Does the applicant have a parent/guardian who is currently employed by this charter school? If yes, please provide the name of the current employee.*required

YesNo

Is the applicant an English Language Learner who resides in District 7?*required

YesNo

Is the applicant a resident of District 7 who is at risk of academic failure?*required

YesNo

Is the applicant a resident of District 7 who is eligible for free/reduced price lunch?*required

YesNo

Parent Name (First, Last)*required

Relationship to Student*required

Home Address(street address, city, state, zip code)*required

Phone Number(s)*required

Email Address*required

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