Sibling Admission Lottery Application Form 2019 - 2020
This application is ONLY for currently enrolled families who have a child currently attending Pine Lake Preparatory.

Please check to make sure all information is complete and correct. An automated confirmation email will be generated upon successful application submission. Please do not call Pine Lake to confirm receipt of application. All required fields must be completed. Please note the required email address for Pine Lake communications, which appears at the top of the form.

All Kindergarten applicants must be 5 years of age by August 31, 2019.

Do not submit multiple applications for ONE child. Example: Do not submit an online application multiple times. Hard copy applications will NOT be accepted for the 2019-2020 school year.

Per North Carolina Charter School law, applications must be submitted each year for the coming school year for all prospective students. Applicants must be residents of North Carolina at the time of application.

Currently enrolled students: DO NOT complete an application for the coming school year. All siblings must complete an application, if the sibling is not currently enrolled.

If you experience technical difficulties, please email

The Lottery for siblings of currently enrolled students is Tuesday, February 12, 2019 at 7 pm.

Thank you for your cooperation.

Email address *
Lottery Communication
REQUIRED Primary Phone Number *
This phone number will be used for all Lottery communication
Your answer
Personal Code *
So that your child’s wait list number can be posted on Pine Lake Prep’s website, please create a unique ID. First digit should be child’s grade, then at least 3 unique letters, then at least 3 unique numbers. This 7 or more character unique ID will be posted in a PDF with the student’s unofficial wait list number. Official wait list numbers will be mailed on a post card during the month of March. Be sure you SAVE your unique ID so you can refer back to this PDF for your child’s wait list number. If you lose your unique ID, you will have to wait for the mailing to arrive at your home address. PLP does not answer emails about wait list numbers during the month of March. This “UNIQUE ID” should be creative so that your code is not duplicated by other parents.
Your answer
Student Information
Student's Legal LAST Name *
Your answer
Student's Legal FIRST Name *
Your answer
Student's Legal MIDDLE Name
Your answer
Student's Date of Birth *
Anticipated Grade as of August 2019 *
Applicant's anticipated grade for the 2018-2019 school year
Twin or Multiple Birth Sibling (Please select N/A or applicable choice.)
Student Lives With *
Parent/Guardian Contact Information
First Name *
Your answer
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Student County of Residence *
Sibling Information
Full Name of Currently Enrolled PLP Sibling *
Your answer
Current Grade of PLP Sibling *
A copy of your responses will be emailed to the address you provided.
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