Apply Now For The 2019-2020 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 2019-2020 School Year for Grades 6th -12th
Sign in to Google to save your progress. Learn more
Student Information *
Applying to Grade *
First Name*
Middle
Last *
Date of Birth *
MM/DD/YYYY
Age*
Student Address
Address*
City *
State*
ZIP*
County of Residence*
Student Siblings
Is a sibling or siblings with the same birthdate as the student applying? (Twins)
Name of Sibling(s)
Name of Sibling(s)
Is a younger or older sibling also applying?
Name of Sibling(s)
Do you have siblings already attending the school?
Primary Parent/Guardian *
First Name
Primary Parent/Guardian *
Last Name
Relationship to Student* *
Address*
City*
State*
ZIP*
Primary Phone* *
Secondary Phone
Email *
Secondary Parent/Guardian
First & Last Name*
Relationship to Student
Address
City
State
ZIP
Primary Phone
Secondary Phone
Email
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.
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
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms