JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
KIPP Tulsa Enrollment INTEREST Form for 24-25 School Year
Please note this is NOT an actual enrollment form! We will reach out to you with more information on enrollment.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student Information
For the 2024-25 school year, KIPP will educate students in grades 6 through 12.
Students' First and Last Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
ZIP Code
*
Your answer
Gender
Choose
Female
Male
Prefer not to say
Date of Birth
*
MM
/
DD
/
YYYY
Home or Cell Phone
Your answer
Current Grade as of Today
*
Choose
5th
6th
7th
8th
9th
10th
11th
Parent/Guardian Information
Guardian Type
Choose
Mother
Father
Stepmother
Stepfather
Legal Guardian
Parent/Guardian Name
*
Your answer
Parent/Guardian's Primary Phone
*
Your answer
Parent/Guardian's Secondary Phone
Your answer
Parent/Guardian's Email Address
*
Your answer
KIPP Sibling Information
Tell us about the students' siblings currently enrolled at KIPP Tulsa
Please provide full names for any siblings who attend KIPP.
Your answer
How did you hear about KIPP Tulsa?
From a friend or family member
Someone came to my house
At a community meeting or event
On a paper flyer
On an electronic flyer like Peachjar
At an athletic or enrichment event
On a video
On the radio
On social media
Phone Call
My child or a family member is a KIPPster or Alumnus
Other:
Please confirm you understand this is NOT an enrollment form, but a way for you to share your interest in enrolling at KIPP.
*
YES
Required
Optional Questions
We are curious. The answer to this question in no way impacts the lottery or your enrollment.
Why are you submitting this interest form? Why do you think KIPP is a good place for your child or yourself?
Your answer
Thank you for your interest in KIPP Tulsa! We will be in touch about the lottery process as soon as it opens up.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of KIPP Oklahoma Public Schools.
Report Abuse
Forms
