Nicotra Application 2019-2020 - Opens 4/2/2019
All applications received will be considered in the order in which they were received
Email address *
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Address (#, street, city, state & zip code) *
Your answer
Student's Home Phone Number
Your answer
Student's Date of Birth *
MM
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DD
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YYYY
Gender *
Student's Current Grade *
Your answer
Grade you are applying for the 2019-2020 school year? *
Does student have an : *
Required
Parent/Guardian's Last Name *
Your answer
Parent/Guardian's First Name *
Your answer
Relationship to student *
Your answer
Parent/Guardian's Address (#, street, city, state & zip code) *
Your answer
Parent/Guardian's Phone # *
Your answer
Parent/Guardian's email address
Your answer
Does student applicant have a sibling currently enrolled in the Nicotra Charter School? *
What is sibling's Name?
Your answer
What is sibling's date of birth?
MM
/
DD
/
YYYY
What is sibling's current grade?
Your answer
Does student applicant have a sibling currently applying to the Nicotra Charter School? *
Where did you hear about our school? *
Your answer
Do you understand that by submitting this form there is no guarantee of admission and your child's application will be considered in the order in which it was received based on the rules that govern admission policies as described in our charter? *
Please print your full name as acknowledgement of the statement above: *
Your answer
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