New York State Charter School Uniform Application Form

ONLY FILL OUT THIS FORM ONCE. If you made a mistake, please contact us by filling out the Contact form on this web site.

School year applying for (starting in September):*

Note: A separate application must be completed and submitted for each child applying for admission.

Student Information

First Name*
Last Name*
Date of Birth (YYYY-MM-DD on Firefox and Safari) *


Upload a photo. Photos must be JPG or PNG files. Max file size is 100MB.


Address*
Address 2
City*
State*
Zip*

School District (or New York City Community School District), select "unknown" if you don't know*

Grade Applying for*

Does the applicant student have a sibling(s) who is applying to this charter school? *

If yes, list the siblings' name, current grade and date of birth below:

Parent/Guardian Information:

Parent First Name*

Parent Last Name*

Address*

Address 2

City*

State*

Zip*

Email (type "none at@none.com" if you don't have an email)*

Home Phone Number*

Cell Number*

Acceptance: By entering your name in the field below, you are signing this Application form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Application.

Parent Signature*

Non-Discrimination Statement: A charter school shall not discriminate against or limit the admission of any student on any unlawful basis, including on the basis of ethnicity, national origin, gender, disability, intellectual ability, measures of achievement or aptitude, athletic ability, race, creed, national origin, religion or ancestry. A school may not require any action by a student or family (such as an admissions test, interview, essay, attendance at an information session, etc.) in order for an applicant to either receive or submit an application for admission to that school.

*Required field