Post Lottery Wait List Application 2010 -2011

The lottery will be held on April 22, 2010. This application will place your student(s) at the next available position on the wait list, in the order it was received, AFTER those students drawn from the Enrollment Lottery.
Family Last Name *

Enter the Family's Last Name
Father/Guardian Last Name
Father/Guardian First Name
Mother/Guardian Last Name
Mother/Guardian First Name
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Home Phone Number * - (###) - ### ####
Father's Work Phone - (###) - ### ####
Mother's Work Phone - (###) - ### ####
Cell Phone - (###) - ### ####
Email *

Please provide an email address that is checked on a daily basis. We will send a confirmation of your application submission to this address. Please be sure this address is NOT caught by your SPAM filters.
Do you currently have a child/children attending Compass Public Charter School? Yes No
PLEASE COMPLETE THE FOLLOWING INFORMATION FOR EACH CHILD YOU WISH TO ENROLL.
CHILD #1------------------------------------------
Child 1 - First Name
Child 1 - Last Name
Child 1 - Grade for 2010-2011
Child 1 - Birthdate / MM / DD YYYY
Child 1 - Male/Female Male Female
Child 1 - Last School Attended
CHILD #2------------------------------------------
Child 2 - First Name
Child 2 - Last Name
Child 2 - Grade for 2010-2011
Child 2 - Birthdate / MM / DD YYYY
Child 2 - Male/Female Male Female
Child 2 - Last School Attended
CHILD #3------------------------------------------
Child 3 - First Name
Child 3 - Last Name
Child 3 - Grade for 2010-2011
Child 3 - Birthdate / MM / DD YYYY
Child 3 - Male/Female Male Female
Child 3 - Last School Attended
CHILD #4------------------------------------------
Child 4 - First Name
Child 4 - Last Name
Child 4 - Grade for 2010-2011
Child 4 - Birthdate / MM / DD YYYY
Child 4 - Male/Female Male Female
Child 4 - Last School Attended
CHILD #5------------------------------------------
Child 5 - First Name
Child 5 - Last Name
Child 5 - Grade for 2010-2011
Child 5 - Birthdate / MM / DD YYYY
Child 5 - Male/Female Male Female
Child 5 - Last School Attended
CHILD #6------------------------------------------
Child 6 - First Name
Child 6 - Last Name
Child 6 - Grade for 2010-2011
Child 6 - Birthdate / MM / DD YYYY
Child 6 - Male/Female Male Female
Child 6 - Last School Attended
Have you read the Compass Public Charter School Policies document? Yes No
Please be sure to review the School Policies document on the Lottery page of the school website before submitting this form.
I understand that any false or incorrect information on this application could jeopardize my child’s enrollment should he/she be selected to attend Compass Public Charter School. I have read and understand the policies found on the school website. I am aware of what will be expected of my child(ren) and myself in the event that my child(ren) is enrolled at Compass Public Charter School
Upon completion of this form you be given a chance to review your entries. You will also receive an email confirming your submission.

Post Lottery Wait List Application 2010 -2011

The lottery will be held on April 22, 2010. This application will place your student(s) at the next available position on the wait list, in the order it was received, AFTER those students drawn from the Enrollment Lottery.

PLEASE COMPLETE THE FOLLOWING INFORMATION FOR EACH CHILD YOU WISH TO ENROLL.

CHILD #1------------------------------------------

CHILD #2------------------------------------------

CHILD #3------------------------------------------

CHILD #4------------------------------------------

CHILD #5------------------------------------------

CHILD #6------------------------------------------

Upon completion of this form you be given a chance to review your entries. You will also receive an email confirming your submission.