Application - Creative Arts Charter School

APPLICANT INFORMATION

Student's Legal Name*

First Middle Last

Student's Nickname

Current Grade Level (Pre-K through 8TH)*

Grade Applying For (Kinder through 8th)*

Applicant's Date of Birth*

Applicant's Place of Birth

City State

Applicant's Country of Birth (If not U.S.)

Current School*

Years attending current school

Gender*

Student's Preferred Pronouns*

Him/He
She/Her

Student's Primary Language*

FAMILY INFORMATION

Parent/Guardian 1: Name*

First Last

Parent/Guardian 1: Are you employed by Creative Arts Charter School*

Yes
No

Parent/Guardian 1: Address*

Street Address Apt # City State ZIP Code

Parent/Guardian 1: Phone*

Parent/Guardian 1: Email*

Parent/Guardian 2: Name

First Last

Parent/Guardian 2: Are you employed by Creative Arts Charter School?

Yes
No

Parent/Guardian 2: Address (if different from above)

Street Address Apt. # City State ZIP Code

Parent/Guadian 2: Phone

Parent/Guardian 2: Email

Do you have a student currently attending CACS?*

Yes
No

Enrolled Student's Name

Enrolled Student's Grade

Indicate Parent or Guardian's highest level of education completed*

DEMOGRAPHIC DATA (Required by state of CA)

Is your student Hispanic or Latino*

Yes
No

What is your student's ethnicity?

(Check all that apply)

Does your family qualify for Free or Reduced lunch?

Yes
No
I don't know

Note: this question is optional and has no impact on admission status

SPECIAL EDUCATION

Does your student have any of the following:

IEP
504
SST

Note: this question is optional and has no impact on admission status.

HOW DID YOU HEAR ABOUT US?

How did you hear about Creative Arts Charter School?*

SIGNATURE

Signature*