ACHS Application for Enrollment
Transcripts are required for all transfer students
Student's First Name
Your answer
Student's Last Name
Your answer
Birth-date
MM
/
DD
/
YYYY
Sex
Current School
Your answer
Grade Level as of September 2017
Enrollment For:
Present High School Credits Earned
Your answer
Name of Parent/Legal Guardian
Your answer
Street Address
Your answer
City, State, Zip
Your answer
Home Telephone:
Your answer
Cell Phone:
Your answer
Emergency Contact Information
In the event that we are unable to reach the parent/guardian at the above telephone number
Name:
Your answer
Telephone:
Your answer
Please List any siblings (brother or sister only) presently attending or graduated from Academy Charter High School
Name:
Your answer
Current Grade:
Name:
Your answer
Current Grade:
Please Note: All information in the application will be treated as confidential. The list of applications will NOT be made public. (Names of students who are offered, and accept admission to ACHS must be reported to their respective school districts.
Applications (One for each child) must be received no later than December 21, 2017 to participate in the selection lottery, which will take place on January 7, 2018. Receipt of the application will be acknowledged by email. Notifications about the status of the application will be mailed after January 27, 2018.
Please Type your name in the space below, which will be considered an electronic signature.
Parent/Guardian Electronic Signature:
Your answer
Parent/Guardian Email:
Your answer
Submit
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