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2020-2021 Charter School Admission Application

Charter Student Admission Application

2020-2021

Meridian World School

Please complete the form below. Required fields marked with an asterisk *

Student Last Name*

Answer required for "Student Last Name"

Student First Name*

Answer required for "Student First Name"

Middle Initial *

Answer required for "Middle Initial "

Student Date of Birth*

Answer required for "Student Date of Birth"

Grade Applying For:*

Answer required for "Grade Applying For:"

Voluntary Information

Student Indentification Number (if known) or Last four (4) digits of Social Security Number (SSN)

Answer required for "Voluntary Information "

I have another child attending this charter school. *

Answer required for "I have another child attending this charter school. "

Yes

This is a child of a staff or board member. *

Answer required for "This is a child of a staff or board member. "

Yes

Parent/Guardian LAST Name*

Answer required for "Parent/Guardian LAST Name"

Parent/Guardian FIRST Name*

Answer required for "Parent/Guardian FIRST Name"

Street Address of Primary Residence*

Answer required for "Street Address of Primary Residence"

City*

Answer required for "City"

State (or Country if outside of U.S.)*

Answer required for "State (or Country if outside of U.S.)"

Zip/Postal*

Answer required for "Zip/Postal"

Phone*

Number Required

Answer required for "Email"

Certification*

Answer required for "Certification"

CERTIFICATION (Required): By checking this box, I certify to the best of my knowledge and belief that the information in this application is complete and accurate, I am the legal guardian of the child listed above, and I understand that any false information, omission, or misrepresentation of facts may result in the rejection of this application or future dismissal of the applicant.

This school does not discriminate on the basis of sex, national origin, ethnicity, religion, disability, or academic or athletic ability.