Online Application Submission
The Charles School at Ohio Dominican University
This online application can be used for the 2021-22 school year.
* Required
Prospective student's first name
*
Your answer
Prospective student's last name
*
Your answer
Date of Birth
*
Example: mm/dd/yyyy
MM
/
DD
/
YYYY
City & State of Birth:
*
Your answer
Gender
*
Female
Male
What is your primary language?
*
Your answer
Is your student Hispanic/Latino?
*
No
Yes
Ethnicity
*
(Check all that apply.)
(I) American Indian/Alaskan Native
(A) Asian
(B) Black/African American
(H) Hispanic
(P) Native Hawaiian/Other Pacific Islander
(W) White
Required
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
What county do you live in?
*
Choose
Franklin
Delaware
Licking
Fairfield
Madison
Pickaway
Union
Primary phone
*
Example: 555-555-5555
Your answer
Is this phone number your
*
Cell phone
Home phone
Work phone
Required
What is your email address?
Your answer
What is your preferred method of contact?
*
Email
Phone
Required
I am applying to enroll for:
*
Next school year 2021-22
Other:
Where is your student currently attending school?
*
Your answer
What school district do you live in?
*
Your answer
What was your student's current 2020-21 grade level?
*
8
9
10
11
12
What will be your student's next grade level for 2021-22?
*
9
10
11
12
Has your student repeated a grade level?
*
Yes
No
If you answered yes, what grade level was repeated?
Your answer
Has your student attended any other high school?
*
Yes
No
If you answered yes, please list the high schools attended.
Your answer
Does student currently have a sibling at GEMS?
*
No
Yes
Required
Does student currently have a sibling at TCS@ODU?
*
No
Yes
Required
Does student currently have a sibling at The Graham School?
*
No
Yes
Required
Does your student currently have an IEP/ETR?
*
(Individual Educational Program) | If you answer yes, please provide a copy of the most recent IEP/ETR.
No
Yes
Has your student ever been evaluated for special education services?
*
No
Yes
Does your student currently have a 504 Learning Plan?
*
If you answer yes, please provide a copy of the most recent 504 Learning Plan
No
Yes
Has your student had an IEP/ETR or 504 Learning plan in the past?
*
No
Yes
If your child previously attended a non-public school, has your student been using a Service Plan to assist them with their learning?
*
No
Yes
Not applicable
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