John P. Holland Charter School
ADMISSIONS APPLICATION 2021-2022
Email address *
Child's Name: *
Date of Birth *
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Street Address: *
City: *
State: *
Zip Code:
Gender *
Parent/Legal Guardian's Name: *
Relationship: *
Home Phone Number: *
Cell Phone Number: *
Home Address (If same as child, just state "SAME") *
Entering which grade on September 2021 (PLEASE NOTE: Child entering Pre-School must be 3 or 4 years of age as of October 31, 2021, proof of age is required) *
How did you hear about John P. Holland Charter School?
Please enter siblings name
Please Provide all requested information application. Be sure to be complete and accurate. A completed application is required for EACH CHILD you wish to enroll. Incomplete applications will not be accepted. The John P. Holland Charter School is not responsible for incorrect or inaccurate information. If the number of children intending to enroll in the John P. Holland Charter school exceeds the number of available spaces, students will be selected for admission by random lottery selection on a grade by grade basis, through a process overseen by JPHCS Board of Trustees and in compliance with the NJ Department of Education Standards. Spaces will be offered in the order of the names drawn with balance of the names creating the waiting list. If the number of the applicants for a given grade does not exceed the number of available spaces, all applicants will be offered admission to the school in that grade. *
Parent/Guardian Signature: *
Date: *
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A copy of your responses will be emailed to the address you provided.
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