Coastal Plains Education Charter HS Enrollment Lottery 20/21 - For NEW STUDENTS ONLY
For Enrollment Lottery 20/21
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Middle Name *
Your answer
Select the Coastal Plains site previously attended (if applicable)
What Coastal Plains site would you like to attend for the school year of 20/21 school year. *
What is your current Grade Level?
Which Program are you interested in at Coastal Plains Charter HS? *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Home Street Address or P.O. Box *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Student Cell Phone
Your answer
Home Phone - (required; if no home phone, re-enter cell number)
Your answer
Student email address (required; if no email address, enter nomail@gmail.com) *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Coastal Plains Education Charter High School. Report Abuse