2018-2019 Jumoke Academy Charter Schools Application
Please fill out the below information completely – all information is required unless otherwise noted.
Scholar First Name *
Your answer
Scholar Last Name *
Your answer
Scholar Date of Birth *
MM
/
DD
/
YYYY
Gender *
Required
Is the applicant Hispanic/Latino? *
Is the applicant from one or more races? *
(choose all that apply)
What is your child's primary spoken language?
Your answer
Grade applying for in 2018-2019 *
Pre-K students must be 4 years old by Dec. 31, 2018
Home Address: *
Street
Your answer
*
City
Your answer
*
Zipcode
Your answer
Which Jumoke Academy School is your child applying to? *
*Please note that students applying to either of the Jumoke Academy Honors middle schools will be required to complete independent essays as part of their application (essays are on the back of this form)
FAMILY INFORMATION
Please name the scholar's parent/legal guardian(s) i.e. The person(s) who have primary care, legal custody / guardianship of the child. *
Parent / Guardian 1 Full Name
Your answer
Relationship to scholar *
Required
Please name the scholar's parent/legal guardian(s) i.e. The person(s) who have primary care, legal custody / guardianship of the child.
Parent / Guardian 2 Full Name
Your answer
Relationship to scholar
Home Phone Number: *
Your answer
Cell Phone Number
Your answer
Email Address: *
Your answer
SIBLINGS
IMPORTANT: Please list the siblings of the applicant attending and not attending Jumoke Academy. (a “sibling” is defined as a blood relative living in the same household and under the legal guardianship of the same head of household):
Sibling Name
Your answer
Sibling Age:
Your answer
CURRENT SCHOOL INFORMATION
School Name *
(If none, enter N/A)
Your answer
Current Grade
Did your child attend Pre-School? *
If “Yes”, how did your child adjust to pre-School?
By checking this box, I certify that the information contained in the above application is truthful and accurate, and that by signing this application, I am requesting that my child be accepted into the Jumoke Academy lottery. *
Required
How did you hear about Jumoke Academy Charter Schools? *
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