Apply Now For The 2017-2018 School Year

Charlotte Learning Academy is a tuition-free, public charter school
with approval by the North Carolina State Board of Education.

Charlotte Learning Academy is now accepting applications
for the 2017-2018 School Year for Grades 6th -12th

Student Information

Applying to Grade *

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First Name*

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Middle

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Last *

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Date of Birth *

MM/DD/YYYY

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Age*

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Student Address

Address*

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City *

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State*

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ZIP*

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County of Residence*

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Student Siblings

Is a sibling or siblings with the same birthdate as the student applying? (Twins)

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Name of Sibling(s)

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Name of Sibling(s)

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Is a younger or older sibling also applying?

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Name of Sibling(s)

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Do you have siblings already attending the school?

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Type of school currently attending

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Name of School

Optional Student Information for Informational purposes only

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Primary Parent/Guardian

First Name

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Primary Parent/Guardian

Last Name

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Relationship to Student*

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Address*

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City*

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State*

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ZIP*

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Primary Phone*

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Secondary Phone

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Secondary Parent/Guardian

First & Last Name*

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Relationship to Student

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Address

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City

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State

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ZIP

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Primary Phone

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Secondary Phone

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Confirmation

By checking the box below, I attest that a) all information submitted is accurate to my knowledge, b) the student is a resident of the State of North Carolina, and c) I understand the Enrollment & Admissions Policy.

I Confirm*

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Thank you for your interest in Charlotte Learning Academy. Please confirm that the information supplied on the previous page is accurate to complete the initial application. Charlotte Learning Academy does not discriminate on the basis of ethnicity, national origin, gender, or disability and will not limit admission to students on the basis of intellectual ability, measures of achievement or aptitude, athletic ability, disability, race, creed, gender, national origin, religion, or ancestry. Students are admitted based on space availability and order of placement is determined by a public lottery.

Name* Type To Sign

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