Willow Oak Montessori: A Public Charter School 2020-2021 School Year Weighted Application Form
Please complete and submit one form for each child for the 2020-21 school year. The lottery application deadline is 12:00 midnight on Friday, February 14, 2020. Applications received after that time will be placed at the bottom of the wait list in the order that they are received.

An application may be submitted for a child if he/she turns 5 (five) years old before September 1, 2020 OR if the child is or was enrolled in another school in the grade that precedes the one for which application is made. Willow Oak Montessori administration will determine the appropriate grade placement for each student after enrollment based on factors such as age, maturity, and academic background.

By completing this optional, weighted lottery application, you are affirming you meet free or reduced lunch guidelines per the below chart and will be prepared to verify this status within one week if offered a spot at Willow Oak Montessori Public Charter School. (We will require 2 consecutive paystubs from one or both employed parents/guardians. No specific information from your weighted lottery application will be obtained beyond eligibility status, and the information will not be retained.)

Si necesitas asistencia en llenar esta forma en Espanol, por favor llama a Noemi Plata, (919) 240-7787
Email address *
Federal Free and Reduced Lunch Income Chart
Student Information
Grade Applying For *
Please select the grade you are applying for for the 2019-2020 school year.
Student's Legal Last Name *
Your answer
First Name *
Your answer
Middle Name *
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's Current NC County of Residence *
Please enter the name of the student's current NC county of residence below. By law, the student must currently reside with a parent/court-appointed legal guardian in North Carolina to apply.
Residence Street Address *
Please include apartment number, if applicable.
Your answer
City *
Your answer
Zip Code *
Your answer
Mailing Address
(if different from above)
Your answer
City
Your answer
Zip Code
Your answer
Home Phone Number *
Your answer
Please check the box below if the student is the child of a full-time employee of Willow Oak Montessori Charter School.
Please check the box below if the student is the sibling of a currently enrolled Willow Oak Montessori Charter School student.
If a sibling(s) will also be applying for a spot at Willow Oak Montessori Charter School this school year, please enter the name(s) of the sibling(s) and the grade(s) being applied for below.
Your answer
If this is a multiple-birth (i.e., twin, triplet, etc.) sibling application, please enter the name(s) of the student's multiple birth siblings below.
Multiple birth siblings are entered together in the lottery if a lottery is necessary. Only one application is needed for multiple birth siblings.
Your answer
Parent/Guardian Information
You must provide either a preferred phone number or e-mail address, but we recommend both.
Parent/Legal Guardian Name(s) *
Your answer
Preferred Phone
in xxx-xxx-xxxx format
Your answer
Preferred Email Address
Your answer
Parent/Guardian Signature
By inserting my name in the space below and submitting this application, I certify that I am the parent/legal guardian of the applicant and that the information contained in this form is complete, accurate and truthful. Furthermore, I understand that I will have seven days to accept an offered spot after notification via the preferred phone number and e-mail address above or the student's name will be placed at the bottom of the waitlist. If a spot becomes available within one week of the start of the school year or after the school year has started, I understand that I will have three days (72 hours) to accept the offered spot. A copy of the student's birth certificate, proof of residency, immunization record and proof of household economic status (2 consecutive paystubs from one or both employed parents/guardians) will be required at enrollment. Applications received after the lottery application deadline will be placed at the bottom of the wait list.

Willow Oak Montessori Charter School, Inc., does not discriminate on the basis of race, color, religion, gender, sexual orientation, family structure, disability, military status or national and ethnic origin in the administration of its policies and programs.
Parent/Guardian Electronic Signature *
Please type your full name below as your signature.
Your answer
A copy of your responses will be emailed to the address you provided.
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