Lottery Form 2018-2019

Thank you for your interest in Ivy Academia Entrepreneurial Charter School, the only entrepreneurial public charter school in the Valley. Please complete the Application of Interest. You will be notified on March 7, 2018 if your child was accepted or waitlisted.

Only a parent, legal guardian or an adult care giver may submit this application.

One application form per child. If you have a sibling(s) applying to Ivy Academia for School Year 2018-2019, please fill out a separate application form for each child.

***Children MUST be at least five (5) years old by September 1st, 2018 to apply for Kindergarten, to apply for Transitional Kindergarten children MUST turn five (5) years old between September 2nd, 2018 and December 2nd, 2018 for School Year 2018-2019.***

***Children MUST be at least six (6) years old by September 1st, 2018 to apply for First grade for School Year 2018-2019.***

Email address *
1) Student's Last Name *
Your answer
2) Student's First Name *
Your answer
3) Student's Middle Name
Your answer
4) Date of Birth (mm/dd/yyyy) *
Your answer
5) Gender *
6) Grade in Fall 2018 *
7) Home/Mailing Address (i.e. 1111 Washington Drive #123) *
Your answer
8) Home/Mailing Address (City) *
Your answer
9) Home/Mailing Address (State) *
Your answer
10) Home/Mailing Address (Zip) *
Your answer
11) Parent/Guardian's Full Name *
Your answer
12) Relationship to Child *
13) Home Telephone Number (i.e. 123-456-7890) *
Your answer
14) Cell/Other Contact Number (i.e. 123-456-7890) *
Your answer
16) Additional Contact Information (optional)
Your answer
17) Does this student have a sibling who is already an Ivy student? (if Yes, please refer to questions 18-23) *
18) First Sibling's Full Name (i.e. Last Name, First Name)
Your answer
19) First Sibling's Grade in Fall 2018
Your answer
20) Second Sibling's Full Name (i.e. Last Name, First Name)
Your answer
21) Second Sibling's Grade in Fall 2018
Your answer
22) Third Sibling's Full Name (i.e. Last Name, First Name)
Your answer
23) Third Sibling's Grade in Fall 2018
Your answer
24) What is your child's School of Residence ? *
Your answer
25) What is the name of the School District to which your child is assigned? *
Your answer
I verify that this information is true and correct. My name is: *
Your answer
Today's Date (i.e. mm/dd/yyyy) *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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