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2024-2025 Anderson Five Charter School Application
Online application for the 2023-2024 school year.
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* Indicates required question
Email
*
Your email
Student Full Legal Name:
*
Your answer
Grade:
*
Grade 9
Grade 10
Grade 11
Grade 12
Gender:
*
Male
Female
Student Cell Number:
*
Your answer
Student Home Number:
*
Your answer
Home Address:
*
Your answer
City, State:
*
Your answer
Zip Code:
*
Your answer
Mailing Address (if different than home address):
Your answer
City, State:
Your answer
Zip Code:
Your answer
Primary Parent/Guardian Email Address:
*
Your answer
Student's Email Address:
*
Your answer
Student lives with:
*
Both Parents
Father
Mother
Other
Father's Name, Address, Home Number, and Email
Your answer
Mother's Name, Address, Home Number, and Email
Your answer
Adult other than Parent (only if student does not live with Father or Mother) Name, Address, Home Number, and Email
Your answer
Current School's Name and Address
*
Your answer
Other High Schools Attended:
Your answer
Does the student receive free or reduced lunch?
*
Yes
No
Does the student have an IEP or 504 Plan?
*
Yes
No
Ethnicity:
*
American Indian/Alaskan Native
Asian/Pacific Islander
Black (not Hispanic)
Hispanic
Mixed Race
White (not Hispanic)
Is the native language English?
*
Yes
No
Do you currently have a job? (student)
*
Yes
No
If yes, please list your Employer, type of work, and work schedule:
Your answer
Explain why you are interested in joining our Charter School. Why do you think this school is a good fit for you to achieve your goals? Why should we select you for this program if there is competition for limited slots? How does earning a diploma assist you in your future plans?
*
Your answer
Please tell us about some key personal problems and or challenges you have overcome. Describe your commitment and motivation to overcome any challenges at this time in your life. For this response take into consideration strengths that you have that will help you to be successful.
*
Your answer
Student Signature
*
Your answer
Parent Signature
*
Your answer
Send me a copy of my responses.
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