PCA Spring Application 2020-2021
This form allows parents/guardians and students to submit an application requesting admission to Perry Career Academy. Your name will be placed on our Spring 2021 waiting list for any enrollment spots that become available in January. Completing this application does not guarantee enrollment at PCA. You will be contacted by the end of January regarding your application status. Thank you.
Student First Name *
Student Last Name *
Student Current High School *
Current High School City and State *
Student Grade *
grade level at start of the 2020-2021 school year
Student Current Age *
Student Date of Birth *
Student Cell Number *
Student Email Address *
Student Street Address *
Student City, State, Zip Code *
Parent/guardian first name *
Parent/guardian last name *
Parent/guardian phone number *
Parent/guardian email address *
Current enrollment status *
I am interested in…. *
I am currently receiving Supplemental Services through the following program: *
Please note that students who receive services through DES/IEP or ESOL must be approved by the CCPS district program coordinator before being offered enrollment at the Perry Career Academy.
Residency Verification *
Copy of parent/guardian picture ID and proof of Clayton Couny residency can be emailed to tracy.cruver@clayton.k12.ga.us. Valid proof is lease/mortgage, phone, gas, water or electric bill within last 2 months.
Name of person submitting application (must be student or guardian) *
Relationship to student (must be student or guardian) *
Never submit passwords through Google Forms.
This form was created inside of Clayton County Public Schools. Report Abuse