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Nicotra Wait List Application 2020-2021 - Open Now
All wait list applications received will be considered in the order in which they were received
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* Indicates required question
Email
*
Your email
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Student's Address (#, street, city, state & zip code)
*
Your answer
Student's Home Phone Number
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Student's Current Grade
*
Your answer
Grade you are applying for the 2020-2021 school year?
*
8th Grade
9th Grade
Does student have an :
*
IEP (Individualized Education Plan)
504 (Does student currently receive any support services)
None of the above
Required
Parent/Guardian's Last Name
*
Your answer
Parent/Guardian's First Name
*
Your answer
Relationship to student
*
Your answer
Parent/Guardian's Address (#, street, city, state & zip code)
*
Your answer
Parent/Guardian's Phone #
*
Your answer
Parent/Guardian's email address
Your answer
Does student applicant have a sibling currently enrolled in the Nicotra Charter School?
*
Yes
No
What is sibling's Name?
Your answer
What is sibling's date of birth?
MM
/
DD
/
YYYY
What is sibling's current grade?
Your answer
Does student applicant have a sibling currently applying to the Nicotra Charter School?
*
Yes
No
Where did you hear about our school?
*
Your answer
Do you understand that by submitting this form there is no guarantee of admission and your child's application will be considered in the order in which it was received based on the rules that govern admission policies as described in our charter?
*
Yes
No
Please print your full name as acknowledgement of the statement above:
*
Your answer
Send me a copy of my responses.
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