Cornerstone Charter Academy: A Challenge Foundation Academy
Application for Enrollment for 2018-2019
Student Information
Student's Legal First Name *
Your answer
Student's Legal Middle Name
Your answer
Student's Legal Last Name *
Your answer
Student's Date of Birth *
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/
DD
/
YYYY
Applying for Grade (K-10) *
We are not able to accept new students in 11th & 12th grades.
Current School Information
This information is for School Planning purposes; this information has no bearing on admission.
Student's Current Grade *
The school is not accepting applications for 11th & 12th grade due to graduation requirements.
Name of Student's Current/Most Recent School *
Your answer
Address & Phone # of Student's Current/Most Recent School *
Your answer
Sibling/Staff Preferences
Does the applying Student have any siblings currently attending CCA-CFA? *
If Yes, what are the Sibling Name(s) & Grade(s)
If applicable
Your answer
Are the Parent/Guardians Staff Member at CCA-CFA? *
If Yes, name of Staff Person:
If applicable
Your answer
Parent/Guardian Information
**If your household is a split household, please make sure you list both addresses below.
Student lives with: *
Please check all that apply
Required
Name of Parent 1: *
Your answer
Relationship to Student *
Your answer
Address *
Your answer
City *
Your answer
State *
Applicant MUST reside in the state of North Carolina. If you are moving from another state, you must wait to apply until you take up residency in North Carolina.
Required
Zip Code *
Your answer
County of Residence *
Home Phone *
Please ensure phone numbers are accurate. If your student is on a waitlist and a spot becomes available we will call you. If your number changes, please call the school to update your information.
Your answer
Cell Phone *
Please ensure phone numbers are accurate. If your student is on a waitlist and a spot becomes available we will call you. If your number changes, please call the school to update your information.
Your answer
Email *
If we are not able to leave a voicemail on your phone, we will email you.
Your answer
Name of Parent 2:
Your answer
Relationship to Student
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
County of Residence
Home Phone
Please ensure phone numbers are accurate. If your student is on a waitlist and a spot becomes available we will call you. If your number changes, please call the school to update your information.
Your answer
Cell Phone
Please ensure phone numbers are accurate. If your student is on a waitlist and a spot becomes available we will call you. If your number changes, please call the school to update your information.
Your answer
Email
If we are not able to leave a voicemail on your phone, we will email you.
Your answer
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