Post Lottery Application

 

Student Name *
Student Name
Birth date *
Birth date
Students born after December 31, 2012 are not eligible to apply for a seat in our K-5 program.
Gender *
Guardian Name *
Guardian Name
Phone Number *
Phone Number
Home Phone Number
Home Phone Number
Address *
Address
Lives with *
Current Grade Level *
Current grade students attended during the 2016-2017 school year
Entering Grade Name *
Grade students are eligible for the 2017-2018 school year
Preferred Language *