Pollock Moore Academy Student Enrollment Interest Form
CONFIDENTIAL This form does not admit students into the school, but allows the school to track students interested in applying for enrollment. Students must be in grades 9-12 for the 2021-2022 school year and be a resident of the state of Georgia who can provide his or her own transportation to and from school. By submitting this form, parents and students are giving representatives of Pollock Moore Academy, Inc. to contact them regarding possible admission into the public charter high school. Potential students and parents may read about the school model at www.pollockmooreacademy.org.
THE INFORMATION SUBMITTED THROUGH THIS FORM IS CONFIDENTIAL. Specific data will only be reviewed by members of the school's founding board. The State Charter School Commission and other stakeholders will receive summaries of the data.
Email address *
What is the student's full name? (Be sure to complete a form for each individual student.) *
Your answer
What grade will the student be in for the 2020-2021 school year? *
What are the names of the student's legal guardian(s) or parents(?) *
Your answer
What is the student's mailing address? *
Your answer
What is the student's home email address? Students may use parent/guardian email addresses.
Your answer
What is the student's home telephone number, and who may we speak with when we call?
Your answer
What job(s) or career(s) is the student planning on pursuing in his or her future? Name up to three.
Your answer
Check the following career pathways that you or your student may be interested in taking at PMA. *
Required
Is the student interested in participating in any of the following athletic programs?
Is your student interested in participating in any of the following extracurricular programs?
Would the student be available to attend PMA in 2020-2021?
Would the student be available to attend PMA in 2021-2022?
How did the student or parent hear about PMA? Please check all that apply to help us with reaching more students.
Do you have any questions or comments for PMA? (Optional Questions)
Your answer
A copy of your responses will be emailed to the address you provided.
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