2024-2025 Application for Admissions

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Charter School Campus Name/Charter School Name (Nombre del campus de la escuela charter / Nombre de la escuela charter) *

Winfree Academy Charter Schools - Irving

Winfree Academy Charter Schools - Lewisville

Winfree Academy Charter Schools - Richardson

Winfree Academy Charter Schools - Grand Prairie

Winfree Academy Charter Schools - North Richland Hills

Winfree Academy Charter Schools - Dallas

Student Information (Información Estudiantil)

Last Name (Apellido) *

First Name (Primer Nombre) *

Middle Initial (Inicial del segundo nombre) *

Suffix (Suffio)

Date of Birth (Fecha de nacimiento) *

YYYY

Gender (Género)*

Male

Female

Clear selection

Grade Applying For (Grado que solicita) *

Voluntary Information (información voluntaria)

Student Identification Number (if known) orLast four (4) digits of Social Security Number (SSN)(Número de identificación del estudiante (si seconoce) o Últimos cuatro dígitos del Número de SeguroSocial)

I have another child attending this charter school. (Tengo otro hijo que asiste a esta escuela charter)

Yes/Si

No/No

Clear selection

If yes, please enter the name of the student's sibling. (En caso sí, ingrese el nombre del hermano.)

This is a child of a staff or board member. (Este es un hijo de un miembro del personal o de la junta)

Yes/Si

No/No

Clear selection

If yes, please enter the name of the staff or board member. (En caso sí, ingrese el nombre del personal o el miembro de la junta)

Primary Guardian Information (Tutor Legal)

Last Name (Apellido) *

First Name (Primer Nombre) *

Street Address of Primary Residence (Dirección de la residencia principal) *

City (Ciudad) *

State (Estado) *

Zip Code (Código Postal) *

Contact Phone Number (Teléfono de contacto) *

No spaces or dashes. (Ex. 9728693250)

Email Address (Correo Electrónico)

CERTIFICATION -Required (CERTIFICACION - Requerida) *

By checking this box, I certify to the best of my knowledge and belief that the information in this application is complete and accurate, I am the legal guardian of the child listed above, and I understand that any false information,omission, or misrepresentation of facts may result in the rejection of this application or future dismissal of the applicant/ Al marcar esta casilla, certifico a mi leal saber y entender que la información en esta solicitud es completa yprecisa, soy el tutor legal del niño mencionado anteriormente, y entiendo que cualquier información falsa, omisión, o la tergiversación de loshechos puede resultar en el rechazo de esta solicitud o en el futuro despido del solicitante..

Required

“Winfree Academy Charter Schools does not discriminate on the basis of race, religion, color, national origin, sex, disability, age, academic or artistic or athletic ability, or school district the student would otherwise attend in providing educational services, activities, and programs, including vocational and career technology programs. Winfree Academy Charter Schools complies with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Education Amendments of 1972; Title II of the Americans with Disabilities Act of 1990 (“ADA”), as amended, which incorporates and expands upon the requirements of Section 504 of the Rehabilitation Act of 1973, as amended; the Age Discrimination Act of 1975, as amended; and any other legally-protected classification or status protected by applicable law.

Any questions or concerns about Winfree Academy Charter School’s compliance with these federal programs should be brought to the attention of the following persons designated as being responsible for coordinating compliance with these requirements:

· The Title IX Coordinator, for concerns regarding discrimination on the basis of sex/gender, is Deirdre Staples, Executive Director of Compliance, 1840 Hutton Drive Suite 130, Carrollton, Texas 75006

· The ADA/Section 504 Coordinator, for concerns regarding discrimination on the basis of disability, is Morgan Przybylski, Director of Special Education, 1840 Hutton Drive Suite 130, Carrollton, Texas 75006

· The Age Discrimination Coordinator, for concerns regarding discrimination on the basis of age, is Deirdre Staples, Executive Director of Compliance, 1840 Hutton Drive Suite 130, Carrollton, Texas 75006

· All other concerns regarding discrimination may be directed to Deirdre Staples, Executive Director of Compliance, 1840 Hutton Drive Suite 130, Carrollton, Texas 75006."

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