|
| |
1. |
Student’s Last Name:
|
| |
2. |
First Name:
|
| |
3. |
Middle Name:
|
| |
4. |
Student’s Birthdate (MM/DD/YYYY) :
|
| |
5. |
Grade:
|
| |
6. |
MDCPS Student’s ID Number:
|
| |
7. |
Siblings currently attending Mater Academy (First and Last Name & ID
Number):
|
| |
8. |
Student’s Address - Number & Street:
|
| |
9. |
Apt. # :
|
| |
10. |
City:
|
| |
11. |
Zip Code:
|
| |
12. |
State:
|
| |
13. |
School Student Currently Attends:
|
| |
14. |
Parent’s / Guardian’s First & Last Name:
|
| |
15. |
Relationship to student:
|
| |
16. |
Parent’s / Guardian’s Home Phone # (with area code)
|
| |
17. |
Parent’s / Guardian’s Work Phone # (with area code)
|
| |
18. |
Parent’s / Guardian’s email address:
|
| |
19. |
Is your child receiving Exceptional Student Education Services ?
|
| |
20. |
If the answer is yes, please provide the type of exceptionality:
|
| |
21. |
Is your child attending a private school? :
If the answer is
“YES” please fax or email the most recent report card to:
Silvia Trinceri
--> fax # : 305 828 6175 or strinceri@dadeschools.net
|
| |
22. |
Is your child interested in applying to our Performing Arts Academy?
If the
answer is yes, you will receive a second application by mail
|
By submiting this form, I acknowledge my understanding of the following conditions for this application:
1.- Only applications received from November 1, 2008, through April 1, 2009, will be considered for enrollment in the next school year 2009-2010,
2.- THE DEADLINE FOR RECEIPT OF THIS APPLICATION IS APRIL 1st, 2009.
3.- Priority is given to applicants with siblings who are currently enrolled at the school.
4. -A random selection process will be utilized to admit eligible applicants.
5.- Failure to respond by the date specified on the acceptance letter will be interpreted as a parent guardian decline of acceptance.
6.- This application becomes void at the end of the current school year.
7.- If accepted , you will be invited to a mandatory orientation meeting where he/she will be enrolled as a full time student at Mater Academy Charter Middle High School
8.- I understand that transportation is not available and therefore I must provide his/her transportation
9.- My child must demonstrate acceptable performance (as determined by school-site policy) in order to remain as a full time student at your school