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Mountain Island Charter School: 2018-2019 Lottery Application
APPLICATION DEADLINE: 11:59:59 PM on January 31, 2018

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 14, 2018 at 4:00 PM at the MICS gymnasium, 13440-B Lucia Riverbend Highway, Mount Holly, NC 28120. Open to the public.


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
Date of Birth *
Contact Email Address *
We will notify you on this email before calling you. Enter none if you don't have one.
Your answer
Home Phone Number *
This is the number we call after emailing.
Your answer
Current Grade Level *
What grade is your student in right now?
2018-2019 Grade Level *
This is the grade you are applying for.
Is the applicant a brother or sister of a CURRENT or Graduated MICS student?
The sibling must be attending MICS now; this entitles you to sibling priority in the lottery.
Name of sibling currently at MICS
Your answer
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 (Enter names and grades if applicable)
EACH STUDENT NEEDS HIS OR HER OWN APPLICATION. Parents may choose to enter all students under the family name. You will have one entry in the lottery and when your name is called, all students will be placed at the same time. If space is not available, those siblings will be placed in the next spot on the appropriate wait list. This option is intended for parents who want to keep their students together and only intend to enroll if they can get all their children accepted. Please consider the possibility that your family may be together somewhere else. EACH STUDENT NEEDS HIS OR HER OWN APPLICATION.
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 or DATE OF BIRTH.
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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