2010-2011 Columbus Charter School
ONLINE APPLICATION FOR OPEN STUDENT ENROLLMENT
We are currently accepting applications.

  
 

Student Information

please do not enter any apostrophes, quotation marks or parenthess into the form fields;
 doing so will produce errors and your application will not be received.

*First Name :
*Email :
*Middle Name :
*Address :
*Last Name :
*City :
*Date Of Birth (mm/dd/yyyy):
*State :
*Age :
*Zip :
*Gender :
*County :
*Race :

Black
American Indian
White
Asian
Hawaiian/Pacific

*Grade Applying For :
If child has sibling currently enrolled, please provide name of student :
*Ethnicity :

Non-Hispanic
Hispanic

 

Family Information

  
 
Father First Name :
Mother First Name :
Father Last Name :
Mother Last Name :
Father's Phone :
Mother's Phone :
Father's Address :
Mother's Address :
Father's City :
Mother's City :
Father's State :
Mother's State :
Father's Zip :
Mother's Zip :
Father's County :
Mother's County :
Father's Occupation :
Mother's Occupation :
 
 
With whom does child reside?

If other please explain below

Mobile Phone :

Academic Background

     
Former School :
    
Former School Address :
   
Former School Phone :
   
Reason For Leaving/OtherNotes:
  

* Required Fields
Double Check Spelling & Accuracy Before Submitting errors in entry may cause errors.
Errors may delay processing and possibly eliminate application from the lottery.