Dearborn Elementary Charter Academy Charter Lottery Application 2019-2020
Charter Lottery Application
2019-2020 Charter Lottery Window: April 3rd-May 24th
2019-2020 Lottery Drawing: May 29th @ 10:30 am. (You are welcome to attend the drawing but it is not mandatory)
*If you do not have an email address, then please come by the Main Office for a Paper Application.

Please do not send multiple requests or apply under a different name.

Email address *
Dearborn Elementary Charter Academy
Do you have another child currently enrolled at Dearborn Elementary Charter Academy TK-4th grade in the 2019-2020 school year? *
If yes, please write the name of the child is currently enrolled at Dearborn please write the child's name below.
Your answer
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Middle Name
Your answer
Applying Student grade level for the 2019-2020 School Year *
Transitional Kindergarten please enter the Date of Birth. (DOB must be between 09/02-12/02/2014)
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Last Name of Parent/Guardian 1 *
Your answer
First Name of Parent/Guardian 1 *
Your answer
Parent/Guardian 1 email (This is the email address we use for all future communication - Please indicate an email address that you check regularly. Do not chose an email address that blocks email. Please add maria.j.martinez@lausd.net to your contacts. *
Your answer
Parent Guardian 1 phone number *
Your answer
Last Name of Parent/Guardian 2
Your answer
First Name of Parent/Guardian 2
Your answer
Parent/Guardian 2 email
Your answer
Parent/Guardian 2 phone number
Your answer
Home Address (123 Main Street) *
Your answer
Address Line 2 (Apt #, Unit #, etc.)
Your answer
City *
Your answer
Zip Code *
Your answer
A copy of your responses will be emailed to the address you provided.
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