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Application 2014-15 Green

Application 2014-15 Green

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Published by charpotter
File of application.
File of application.

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Categories:Types, Brochures
Published by: charpotter on Aug 10, 2014
Copyright:Traditional Copyright: All rights reserved

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08/10/2014

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With whom does the student live?
Mother
Father
Both
Other ____________________________________________
Guardianship papers attached:
Yes
No
NA
If you are not the student's birth parent, please provide a
Certified True Copy
 of the Transfer of Custody/Legal Guardianship. Documentation indicating the purpose of the transfer of custody may also be requested. Legal Guardians must be: (1) appointed by the court, (2) awarded custody by a court judgment or (3) granted temporary custody by a state agency.
A NOTARIZED STATEMENT NOT IN COMPLIANCE WITH THE LAWS GOVERNING CUSTODY BY MANDATE IS NOT CONSIDERED PROOF OF GUARDIANSHIP.List any other matters concerning your child’s admission _____________________________________________ _______________________________________________________________________________________________
Last Name First Name Middle NameStudent Home Address: __________________________________________________________________________________________________Date of Birth (MM/DD/YY): ________________________ Sex:
M
F Social Security No. _______________________________________Grade applying for: _______________________________
Please check one or more of the following that best describes your child.
Hispanic/Latino
American Indian/Alaskan Native
Asian
Black/African American
Native Hawaiian/Pacific Islander
Caucasian
STUDENT Information (Please PRINT All Information)PARENT/GUARDIAN Information (Please PRINT All Information)
________________________________________________________ Mother’s / Legal Guardian’s name________________________________________________________ Stepparent (if any)________________________________________________________ Home address________________________________________________________ City State Zip code________________________________________________________ Mailing address (if different from above)________________________________________________________ City State Zip code________________________________________________________ Home phone________________________________________________________ Work phone Cell phone________________________________________________________ Email address________________________________________________________ Father’s / Legal Guardian’s name________________________________________________________ Stepparent (if any)________________________________________________________ Home address________________________________________________________ City State Zip code________________________________________________________ Mailing address (if different from above)________________________________________________________ City State Zip code________________________________________________________ Home phone________________________________________________________ Work phone Cell phone________________________________________________________ Email address
2014-15 Eastbank Collaborative of Charter Schools Shared Application for High School Admission
High Schools (please indicate to which school you are applying)
 Benjamin Franklin High School (9-12) ..............................................2001 Leon C. Simon Dr., NOLA 70122, (504) 286-2600
 Lusher Charter School (9-12) ..........................................................5624 Freret St., NOLA 70115, (504) 304-3960
 New Orleans Charter Science & Mathematics High School (9-12) .......5625 Loyola Ave., NOLA 70115, (504) 324-7061
 
New Orleans Military and Maritime Academy (NOMMA)* (9-12) ..........2000 Opelousas Ave., Building H-100, NOLA 70146, (504) 227-3810
 Warren Easton Charter High School (9-12) .......................................3019 Canal St., NOLA 70119, (504) 324-7400
FOR SCHOOL USEDate Application ReceivedYear ApplyingGrade Applying
www.eastbankcollaborative.com
9/13
Deadline for timely applications is January 10, 2014.
 
* PLEASE NOTE: Only timely applications will be accepted for schools requiring a lottery. Not all ECCS schools will have a lottery and may accept applications year-round. Please call the school for information. The applications will be available on each school’s website, a separate application must be delivered to each school. Supplemental information may be required.
 
* NOMMA accepts applications statewide, but Orleans Parish residents are required to use the RSD admissions dates and OneApp when applying. Please call the school for details.

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