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2014-2015 South Brunswick Charter School

ONLINE APPLICATION FOR OPEN STUDENT ENROLLMENT

2014-2015

SOUTH BRUNSWICK CHARTER SCHOOL APPLICATION FOR STUDENT ENROLLMENT

Student Information:         *Grade Applying For : (Proof of last grade level completed will be required)

Student's Name:         

Date of Birth:                      Age: (Kindergarten students must be 5 years old by August 31, 2014)

Street Address:           

Mailing Address:         
(if different from above)

Family Information:

Father/Guardian:
Name:  

Relationship to Child:

Address:

Contact Number 1:  ###-###-####

Contact Number 2:  ###-###-####

E-mail Address:

Mother/Guardian:
Name:  

Relationship to Child:

Address:

Contact Number 1:  ###-###-####

Contact Number 2:  ###-###-####

E-mail Address:   

 

Additional Information:

1. Is this applicant the child of a South Brunswick Charter School staff member? Yes No
    If yes, staff member's name:

2. Does this applicant have sibling(s) that live in the same household who are also applying to attend South Brunswick Charter School for the 2014-15 school year?
   Yes No
    (Note: Entering siblings will be placed together as a surname in the lowest grade level that is being applied. If the surname is selected in the case of a     lottery, all siblings shall be admitted to the extent that space is available.)

Verification Statement: I am the legal Guardian of the above student applicant and verify that all information provided is true and accurate to the best of my knowledge.

Note: It is important that you notify the school if any phone numbers change. If your child is placed on the waiting list, we will attempt to call all available numbers if a space becomes available.

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