2019-2020 Application Form
Greetings! And thank you for your interest in enrolling your student at Midtown Public Charter School! This form is for NEW STUDENT APPLICANTS to Midtown! If you are currently a Midtown student, please click the following link for reenrollment instructions: https://docs.google.com/forms/d/e/1FAIpQLScSuExSot5bIgTak9d7UKcgkqpYZbg4mgyBTx6kfnJ3BCx7bw/viewform
If you are enrolling more than one child, please complete this form multiple times (once for each child you are enrolling).
Please note that for guardians who are not a student's biological mother or father, proof of guardianship will be required to complete enrollment.
After you complete the application, please click "Submit." When you do, you should see a screen like the one pictured below. If you do not, then your application did not go through.
About the student
Student's first name *
Your answer
Student's last name *
Your answer
Student's mailing address *
Please include the FULL mailing address, including street number, street name, apartment number (if applicable), city, state, and zip code.
Your answer
Student's birthday, including year *
Your answer
What school does the student currently attend? *
Your answer
What grade is the student currently in? *
What grade do you anticipate the student will be in next year (2019-2020)? *
What is the student's gender? *
Who does the student live with? *
Does the student have a sibling that currently attends Midtown Public Charter School? *
About the Mother / Legal Guardian
Mother / Legal Guardian first name
Your answer
Mother / Legal Guardian last name
Your answer
Mother / Legal Guardian phone number
Your answer
Mother / Legal Guardian secondary phone
Your answer
Mother / Legal Guardian's mailing address
Please indicate if the address is the same as the student's full address, OR - in the "other" box - include the FULL mailing address, including street number, street name, apartment number (if applicable), city, state, and zip code.
Mother / Legal Guardian email address
Your answer
About the Father / Legal Guardian
Father / Legal Guardian first name
Your answer
Father / Legal Guardian last name
Your answer
Father / Legal Guardian phone number
Your answer
Father / Legal Guardian secondary phone
Your answer
Father / Legal Guardian's mailing address
Please indicate if the address is the same as the student's full address, OR - in the "other" box - include the FULL mailing address, including street number, street name, apartment number (if applicable), city, state, and zip code.
Father / Legal Guardian email address
Your answer
Additional Information
How did you hear about Midtown Public?
I certify that all information provided in this application and in all accompanying forms is true, accurate, and complete. I understand that if enrolled, having given false, inaccurate, or misleading information on this form or any other Midtown Public form may result in dismissal of my child from the school. I understand that completion of this application for enrollment does not guarantee enrollment in Midtown Public Charter School and that additional information will be required prior to enrollment.
To sign in agreement with the above statement, please type your full name. *
Your answer
When you are finished with all questions, please be sure to hit "Submit!" Thank you!
Submit
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