Nicotra Application for the 2021-2022 Academic Year
Email address *
Student's Last Name *
Student's First Name *
Student's Address (#, street, city, state & zip code) *
Student's Home Phone Number
Student's Date of Birth *
Gender *
Student's Current Grade *
Grade you are applying for the 2020-2021 school year? *
Does student have an : *
Parent/Guardian's Last Name *
Parent/Guardian's First Name *
Relationship to student *
Parent/Guardian's Address (#, street, city, state & zip code) *
Parent/Guardian's Phone # *
Parent/Guardian's email address
Does student applicant have a sibling currently enrolled in the Nicotra Charter School? *
What is sibling's Name?
What is sibling's date of birth?
What is sibling's current grade?
Does student applicant have a sibling currently applying to the Nicotra Charter School? *
Where did you hear about our school? *
Do you understand that by submitting this form there is no guarantee of admission and your child's application will be considered in the order in which it was received based on the rules that govern admission policies as described in our charter? *
Please print your full name as acknowledgement of the statement above: *
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