Intent To Enroll - Waitlist
Thank you for your interest in Cornville Regional Charter School. If you have any questions about this form or about CRCS, please contact Jess Brown at jbrown@crcsme.org or 474-8740.
*It is now after March 1st so all intent to enrolls received will be put on our wait list in the order in which they are received.
Student First Name *
Your answer
Student Middle Name *
Your answer
Student Last Name *
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Grade Level for School Year 2018-2019 *
Current School *
Your answer
Please list the names of all siblings that are also looking to attend CRCS for the school year 2018-2019 that are not currently attending. You will also need to fill out one form for each child. *
Your answer
Does this student have a sibling enrolled in CRCS? *
School District in which student resides *
Student MAILING address *
Please type the complete address including the zip code, we will use this to generate mailing labels.
Your answer
Student PHYSICAL address *
If same as mailing please type "same as above"
Your answer
Name of parent/guardian #1 *
Your answer
Mailing address of parent/guardian #1 *
If same as mailing please type "same as above"
Your answer
Email address of parent/guardian #1 (will receive confirmation email that the intent to enroll form was received) *
Your answer
Phone number of parent/guardian #1 *
Your answer
Name of parent/guardian #2 *
Your answer
Mailing address of parent/guardian #2 *
If same as mailing please type "same as above"
Your answer
Email address of parent/guardian #2 *
Your answer
Phone number of parent/guardian #2 *
Your answer
Students areas of interest *
Your answer
What else should we know about the student? *
Your answer
How did you learn about the Cornville Regional Charter School?
Yes
No
Friend
Relative
Student Who Currently Attends
Teacher/ Guidance Counselor
Internet Search
Website
Facebook
Newspaper
Other
Comments:
Your answer
This confidential letter of intent is used to demonstrate interest in having your child attend CRCS, a prek to Grade 10 public charter school for the upcoming school year. This letter does not guarantee my child's enrollment in this school, nor does it legally bind me to enroll my child. In the event that more students desire enrollment than there are spaces, selection will be made by lottery. I have read and agree to these terms. *
Signature (type your name below) *
Your answer
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