STUDENT APPLICATION

CHARTER STUDENT ADMISSION APPLICATION PDF (DOWNLOAD HERE)

* If you download the PDF (above) please email the completed form to connect@saprep.org, or you can complete the form below.

School year applying for:

Charter School Campus Name / Charter School Name *

Student First Name (name as shown on birth certificate)

Student Last Name

Date of Birth (mm/dd/yyyy)

Gender

Grade Applying For

Student Identification Number (if known) or Last four (4) digits of Social Security Number (SSN)

I have another child attending this charter school. (I have another son who attends this charter school)

If yes, please enter the name of the student's sibling, staff, or board member. (If yes, enter name of sibling, staff, or board member)

This is a child of a staff or board member.

If yes, please enter the name of the student's sibling, staff, or board member. (If yes, enter name of sibling, staff, or board member)

Parent First Name

Parent Last Name

Street Address of Primary Residence

Address Line 2

City

State

Zip Code

Country

Phone Number

Email Address

CERTIFICATION (Required): By checking this box, I certify to the best of my knowledge and belief that the information in this application is complete and accurate, I am the legal guardian of the child listed above, and I understand that any false information, omission, or misrepresentation of facts may result in the rejection of this application or future dismissal of the applicant.

I certify to the best of my knowledge and belief that the information in this application is complete and accurate.

How did you hear about SA Prep? (Recruiter, Parent, Friend, Social Media, News, Drive By, Other)

This school does not discriminate on the basis of sex, national origin, ethnicity, religion, disability, or academic or athletic ability. (This school does not discriminate on the basis of sex, national origin, ethnicity, religion, disability, or academic or athletic ability.)

STUDENT APPLICATION

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