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Mountain Island Charter School: 2019-2020 Lottery Application
APPLICATION DEADLINE: 11:59:59 PM on January 31, 2019

Mountain Island Charter School (MICS) enrolls students in accordance with North Carolina General Statute. We do not discriminate against any student on the basis of ethnicity, national origin, gender, or disability. Except as otherwise provided by law or the mission of the school as set out in our charter, MICS does not limit admission to students on the basis of intellectual ability, measures of achievement or aptitude, athletic ability, race, creed, gender, national origin, religion, or ancestry. MICS does give enrollment priority to siblings of currently enrolled students who were admitted to the charter school in a previous year.

MICS enrolls an eligible student who submits a timely application, unless the number of applications exceeds the capacity of a program, class, grade level, or building. In this case, students are accepted at random by lottery. Once enrolled, students are not required to reapply in subsequent enrollment periods. Notwithstanding any law to the contrary, MICS may refuse admission to any student who has been expelled or suspended from a public school under North Carolina General Statute. Furthermore, MICS reserves the right to refuse admission to any student that has not met the academic requirements for the grade level they have applied to enter.

In order to be eligible for the lottery, students are required to reside in the state of North Carolina at the time of the lottery.

Mountain Island Charter School is a public school serving grades kindergarten through 12 and requires no application fee or tuition. All students, staff and parents are required to sign and abide by the MICS Achievement Goal and Compact. All MICS stakeholders are required to follow all of the school's policies and procedures.

The lottery will be held on Wednesday, February 13, 2019 at 4:00 PM at the MICS "B" gymnasium, 13440-B Lucia Riverbend Highway, Mount Holly, NC 28120. Open to the public.

EACH STUDENT NEEDS HIS OR HER OWN APPLICATION.

Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Middle Name
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
ZIP Code *
Your answer
Home Phone Number *
This is the number we call after emailing.
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current Grade Level *
What grade is your student in right now?
2019-2020 Grade Level *
This is the grade you are applying for.
Last Name of Mother/Guardian
Your answer
First Name of Mother/Guardian
Your answer
Mother/Guardian email address
Your answer
Last Name of Father/Guardian
Your answer
First Name of Father/Guardian
Your answer
Father/Guardian email address
Your answer
Twins or Triplets? (Enter names if applicable)
Twins and Triplets are always accepted together. EACH STUDENT NEEDS HIS OR HER OWN APPLICATION.
Your answer
GROUP SIBLING APPLICATION (Please list the names and rising grades of brothers and sisters in the lottery)
EACH STUDENT NEEDS HIS OR HER OWN APPLICATION. All students in the same family will have one group entry in the lottery under the family name. All students will be placed at the same time when the family name is drawn. If space is not available, those siblings will be placed in the next spot on the appropriate wait list. EACH STUDENT NEEDS HIS OR HER OWN APPLICATION.
Your answer
1a. Sibling and Alumni Priority: Is the applicant a brother or sister of a CURRENT or Graduated MICS student?
In order to be considered for sibling priority, the student must share a home address and a legal guardian with a student THAT IS CURRENTLY ENROLLED AT MICS or a GRADUATE OF MICS.
1b. Sibling and Alumni Priority: Name of sibling ALREADY at MICS or Graduate
Your answer
2a. Charter School Priority: Is the applicant currently attending a NC Charter School?
State law allows admissions priority for students coming to MICS from another charter school. The MICS Board of Directors has not yet determined whether we will implement this priority. If the Board approves and you would like to be considered for charter school priority, check Yes and enter the school's name in the next question.
2b. Charter School Priority: Name of the Charter School currently attending
Your answer
Application Falsification Statement *
If any information on this application is falsified, the applicant's name will be taken out of the MICS lottery, removed from the waitlist, or removed from enrollment at the time the information is found to be inaccurate. This includes, but not limited to, information pertaining to a student's CURRENT grade level, DATE OF BIRTH, school name or sibling status.
Required
Terms and Agreement *
I agree to all terms and agreements necessary for admission to Mountain Island Charter School. Please provide your electronic signature by typing your initials into the space below.
Your answer
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