Student Application 2019 - 2020
Non-Discrimination Statement: A charter school shall not discriminate against or limit the admission of any student on any unlawful basis, including on the basis of ethnicity, national origin, gender, disability, intellectual ability, measures of achievement or aptitude, athletic ability, race, creed, national origin, religion or ancestry. A school may not require any action by a student or family (such as and admissions test, interview, essay, attendance at an information session, etc)

Declaración de no discriminación: una escuela autónoma no debe discriminar ni limitar la admisión de ningún estudiante de forma ilegal, incluso por motivos de origen étnico, nacionalidad, género, discapacidad, capacidad intelectual, medidas de rendimiento o aptitud, capacidad atlética, Raza, credo, origen nacional, religión o ascendencia. Una escuela no puede requerir ninguna acción por parte de un estudiante o familia (como prueba de admisión, entrevista, ensayo, asistencia a una sesión de información, etc.)
Email address *
Child’s Name - Nombre del Niño *
Your answer
Gender/ Genero *
Date of Birth - Fecha de Nacimiento *
Your answer
Home Address - Direccion de Domicilio *
Your answer
School Location and Applicants Grade For the 2019-2020 School Year: *
K
1
2
3
4
5
Harlem
South Bronx
Parent/Guardian Information/ Información del Padre Name/ Nombre *
Your answer
Relationship to Student- Relación al estudiante *
Your answer
Home Address-Dirección de Domicilio *
Your answer
Phone Number(s)-Numero(s) de telefono *
Your answer
Email Address- Correo Electronico *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Storefront Academy Harlem. Report Abuse