Philadelphia E & T WAITLIST for Admissions 2018-2019
Our lottery was held on February 1, 2018 at 10AM. If you want to apply for the waitlist for the 2018-2019 School Year for Grades 9, 10, 11 or 12, please fill out the form below.
Email address *
Section A: Student & Parent/Guardian Information
STUDENT ID NUMBER (if applicable):
Your answer
Student Last Name *
Your answer
Student First Name *
Your answer
Student Middle Initial
Your answer
Current Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Date of Birth *
Your answer
Gender (Optional)
Parent/Guardian Last Name *
Your answer
Parent/Guardian First Name *
Your answer
Relationship to Student *
Parent,Grandparent, Legal Guardian, etc.
Your answer
Do you have the legal right to enroll this child in school? *
Required
Preferred Contact Number *
Your answer
Secondary Contact Number
Your answer
Email Address *
Your answer
Current Grade Level *
Your answer
Where did you hear about the school?
Your answer
Section B: School Choice Information
Name of Charter School You Wish to Attend *
Your answer
Grade Applying To *
Your answer
Section C: Sibling Information (If Applicable)
SIBLING #1
Sibling #1 Last Name
Your answer
Sibling #1 First Name
Your answer
Sibling #1 Last Name Date of Birth
Your answer
School Sibling #1 Currently Attends
Your answer
Sibling #2
Sibling #2 Last Name
Your answer
Sibling #2 First Name
Your answer
Sibling #2 Date of Birth
Your answer
School Sibling #2 Currently Attends
Your answer
Sibling #3
Sibling #3 Last Name
Your answer
Sibling #2 First Name
Your answer
Sibling #2 Date of Birth
Your answer
School Sibling #3 Currently Attends
Your answer
Section D: Parent/Guardian Signature
IMPORTANT: By Signing this form, you indicate that all information provided is accurate. If any of the information that you have provided changes after turning in this form, please submit an amended form prior to the school's deadline. Check with the charter school you wish to apply to for application deadlines. YOU MUST SUBMIT THIS FORM TO THE CHARTER SCHOOL YOU WISH TO ATTEND.
Parent/Guardian Signature (Printed Name Acts as Signature) *
Your answer
Today's Date
MM
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DD
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YYYY
Internal Use Only
Received By:
Your answer
Date Received
MM
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DD
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YYYY
A copy of your responses will be emailed to the address you provided.
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