Anson Charter Academy Application 2018 - 2019
Anson Charter Academy will open with grade levels K-2 only, and will add a new grade level each year.

Students must be residents of North Carolina. Please be sure that your email account will receive emails from ansoncharteracademy.org.

Please fill out this application form completely. Falsifications, misrepresentations or omissions may disqualify your application.

Anson Charter Academy does not discriminate against any student on the basis of ethnicity, national origin, gender, or disability. Any North Carolina student may apply to the school.

Email address *
Please retype above email address. *
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Telephone Number (Please format as xxx-xxx-xxxx) *
Your answer
Your Street Address *
Your answer
Apt. # (if applicable)
Your answer
Your City *
Your answer
Your Zip Code *
Your answer
Secondary Parent/Guardian First and Last Name
Your answer
Secondary Parent/Guardian email address
Your answer
Secondary Parent/Guardian phone number (xxx-xxx-xxxx)
Your answer
Child's First Name *
Your answer
Child's Last Name *
Your answer
In what grade will the above child be during the 2018-2019 school year? *
Child's Street Address (If this is a group sibling application, all siblings must be part of the same household. Please use physical address.) *
Your answer
Apt. # (if applicable)
Your answer
Child's City of Residence *
Your answer
Child's Zip Code *
Your answer
Child's County of Residence *
Child's Birthday (Please note that students must be 5 years of age or older by August 31, 2018 to attend Anson Charter Academy.) *
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