Mountain Island Day Community Charter School-Lottery Application 2019-2020
Mountain Island Day Community Charter School is a Kindergarten through 12th grade public charter school and requires no application fee or tuition. Students, staff and parents are required to sign and abide by MIDCCS's policies and procedures. MIDCCS requires students in Kindergarten through 7th grade to wear uniforms with the MIDCCS logo. Students in 8th-12th grade must abide by a school dress code. Dress Code details can be found at https://www.midschool.org/faq. MIDCCS has a technology fee for one to one devices (iPad or Chrome Book) for students in 5th-12th grade. MIDCCS offers dual enrollment course work to eligible high school students. In order for students to be successful in the dual enrollment program, 8th grade students should be ready for Math Grade 8 honors or higher, 9th grade students should be ready for Math I/Algebra I or higher, 10th grade students should be ready for Math II/Geometry or higher, and 11th grade students should be ready for Math III/Algebra II or higher.

Completion and submission of this application enters your child in the 2019-2020 open enrollment period ending Feb 27th for a lottery that will be held at Mountain Island Day Community Charter School on March 12th, 2019 at 4:00pm. Parents/Guardians will receive a confirmation immediately following submission of their application. Your lottery number will be sent to the email provided on the lottery application by the end of the day on March 1st, 2019. Thank you for your interest in Mountain Island Day Community Charter School.
Email address *
Parent/Guardian Information
The following information should pertain to the parent/guardian with whom the student applicant resides.
Name of parent/guardian (first) *
Your answer
Name of parent/guardian (last) *
Your answer
Parent/guardian relationship *
Your answer
Address *
Number and street
Your answer
Address *
City
Your answer
Address *
Zip code
Your answer
Home/primary phone *
Your answer
Cell phone
Your answer
E-mail *
Your answer
Student's county of residence *
Zip code
Student Application Information
The following information should pertain to student applicant. If this application is for a sibling group please start with your oldest child.
Student's first name *
Your answer
Student's middle name *
Your answer
Student's last name *
Your answer
Current Grade:
Please choose the grade that your student is currently in, 2018-2019 school year.
Grade applying for: *
Please choose the grade that your student will enter in the 2019-2020 school year. For example, if student applicant is currently in grade 5 the applicant would select grade 6 for 2019-2020. Kindergarten applicants must be five years old by August 31, 2019 to be eligible for Kindergarten in North Carolina.
School transferring from: *
Please enter the school that your child currently attends, if applicable.
Your answer
Is the student applicant part of a multiple birth? *
Ex. twins, triplets, etc.
Does the student have a sibling already enrolled at MIDCCS? *
Ex. twins, triplets, etc.
Date of birth *
mm/dd/yyyy
Your answer
First Sibling
MIDCCS will place each sibling individually in the lottery. If any of the sibling's names are drawn in the lottery then siblings will be admitted as long as space allows. If space does not allow the sibling will go next in line on the sibling waiting list.
Student's first name
Your answer
Student's middle name
Your answer
Student's last name
Your answer
Current Grade:
Please choose the grade that your student is currently in, 2018-2019 school year.
Grade applying for:
Please choose the grade that your student will enter in the 2019-2020 school year. For example, if student applicant is currently in grade 5 the applicant would select grade 6 for 2019-2020. Kindergarten applicants must be five years old by August 31, 2019 to be eligible for Kindergarten in North Carolina.
School transferring from:
Please enter the school that your child currently attends, if applicable
Your answer
Is the student applicant part of a multiple birth?
Ex. twins, triplets, etc.
Date of birth
mm/dd/yyyy
Your answer
Second Sibling
MIDCCS will place each sibling individually in the lottery. If any of the sibling's names are drawn in the lottery then siblings will be admitted as long as space allows. If space does not allow the sibling will go next in line on the sibling waiting list.
Student's first name
Your answer
Student's middle name
Your answer
Student's last name
Your answer
Current Grade:
Please choose the grade that your student is currently in, 2018-2019 school year.
Grade applying for:
Please choose the grade that your student will enter in the 2019-2020 school year. For example, if student applicant is currently in grade 5 the applicant would select grade 6 for 2019-2020. Kindergarten applicants must be five years old by August 31, 2019 to be eligible for Kindergarten in North Carolina.
School transferring from:
Please enter the school that your child currently attends, if applicable
Your answer
Is the student applicant part of a multiple birth?
Ex. twins, triplets, etc.
Date of birth
mm/dd/yyyy
Your answer
Third Sibling
MIDCCS will place each sibling individually in the lottery. If any of the sibling's names are drawn in the lottery then siblings will be admitted as long as space allows. If space does not allow the sibling will go next in line on the sibling waiting list.
Student's first name
Your answer
Student's middle name
Your answer
Student's last name
Your answer
Current Grade:
Please choose the grade that your student is currently in, 2018-2019 school year.
Grade applying for:
Please choose the grade that your student will enter in the 2019-2020 school year. For example, if student applicant is currently in grade 5 the applicant would select grade 6 for 2019-2020. Kindergarten applicants must be five years old by August 31, 2019 to be eligible for Kindergarten in North Carolina.
School transferring from:
Please enter the school that your child currently attends, if applicable
Your answer
Is the student applicant part of a multiple birth?
Ex. twins, triplets, etc.
Date of birth
mm/dd/yyyy
Your answer
Fourth Sibling
MIDCCS will place each sibling individually in the lottery. If any of the sibling's names are drawn in the lottery then siblings will be admitted as long as space allows. If space does not allow the sibling will go next in line on the sibling waiting list.
Student's first name
Your answer
Student's middle name
Your answer
Student's last name
Your answer
Current Grade:
Please choose the grade that your student is currently in, 2018-2019 school year.
Grade applying for:
Please choose the grade that your student will enter in the 2019-2020 school year. For example, if student applicant is currently in grade 5 the applicant would select grade 6 for 2019-2020. Kindergarten applicants must be five years old by August 31, 2019 to be eligible for Kindergarten in North Carolina.
School transferring from:
Please enter the school that your child currently attends, if applicable
Your answer
Is the student applicant part of a multiple birth?
Ex. twins, triplets, etc.
Date of birth
mm/dd/yyyy
Your answer
Additional Siblings
Please provide information for additional siblings that are not previously listed in this application below. Please include first, middle, and last name, date of birth, grade level they are currently in and desired grade level for next year, and school they are transferring from.
Your answer
Please indicate that you have read our admissions policies. www.midschool.org *
Name of person submitting application *
Your answer
Additional Information
Mountain Island Day School is open to any North Carolina student, and will not discriminate against any student with respect to any category protected under the United States Constitution or under federal law applicable to the states. If any information on this application is falsified, the applicant's name will be taken out of the MIDCCS lottery, removed from the wait list, or removed from enrollment at the time the information is found to be inaccurate. This includes, but not limited to, information pertaining to a student's current grade level or date of birth. Please submit one application per family if you mistakenly submit two applications contact us at registrar@midschool.org for corrections, all applications with duplicates will be removed from the MIDCCS lottery.

By submitting this form, I am certifying that the information entered is correct and accurate, to the best of my knowledge. I agree to the terms and agreements necessary for admission to Mountain Island Day Community Charter School . Please provide your electronic signature by typing your initials into the space below.
Electronic Signature
Your answer
A copy of your responses will be emailed to the address you provided.
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