New Scholar Application - 2021-2022
Please complete the following application as thoroughly as possible to be included in Scintilla Charter Academy's admissions lottery for the 2021-2022 school year. If you are applying for more than one child, please complete a separate application for each child. Contact the school at 229-244-5750 with any questions.
* Required
Applicant's First Name:
*
Your answer
Applicant's Middle Name:
Your answer
Applicant's Last Name:
*
Your answer
Applicant's Preferred Name:
*
Your answer
Grade Applying For:
*
Kindergarten
1st
2nd
3rd
4th
5th
6th
Date of Birth:
*
In order to apply for kindergarten for the the 2021-2022 school year, a child must be 5 years old on or before September 1, 2021.
MM
/
DD
/
YYYY
Age:
*
Your answer
Gender
*
Male
Female
Home Address:
*
Your answer
City:
*
Your answer
State:
*
Your answer
Zip Code:
*
Your answer
Please indicate the county you reside in:
*
You and your child's permanent residence must be in Lowndes or Brooks County. Scholars who live outside of SCA’s attendance zone may apply/enter SCA’s lottery, so long as they are residents of Lowndes or Brooks County at the time of enrollment.
Lowndes
Brooks
Other
Does this child have a sibling who will also be applying for the 2021-2022 school year?
*
A sibling is defined as children who shares one or both parents.
Yes
No
Next
Page 1 of 3
Never submit passwords through Google Forms.
This form was created inside of Scintilla Charter Academy.
Report Abuse
Forms
