Clara Science Academy Enrollment Application

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CSA

We are thrilled to announce that we are accepting applications for possible enrollment into the Clara Science Academy for grades level K-8.

To be considered for acceptance into the Clara Science Academy School, please complete the application.

There are two options for submitting your application:

1) Fill in the online form below and click the "Submit Form" button when finished to send us your application.

2) Click on the link below to download and print your application form (.PDF available in English or Spanish), then mail your completed application form to the address provided.

Please return completed form to P.O. Box 33204, Charlotte, NC 28233

To download the Clara Science Academy School Application in English (.PDF 179 KB) click here

Descargar la aplicación escolar de la Clara Science Academy en españo (.PDF 152 KB) haga clic aquí

Online Form Submission

Personal Information of Parent/Guardian

Complete Parent/Guardian name and address information as applicable:

Relationship to student (Mother, Father, Step-Father, Step-Mother, Sibling, Aunt, Uncle, Sister, Brother, Cousin, Grandparent, Caretaker, Forester Parent or Other)

Name of Parent 1:
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Email Address:

Name of Parent 2:
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Preferred Method of Contact:	Mail Text Telephone Email
Prospective Student Name:
Student not enrolled in school preceding enrollment in charter school because:
Interest Grade Level:	Entering Kindergarten First Grade Second Grade Other
If other, please explain:
Does your child have a current individualized education program (IEP)?	Yes No
If no, ever had an IEP?	Yes No
Does your child have a current 504?	Yes No
If no, ever had a 504?	Yes No
Is transportation needed?	Yes No
Are you interested in the Free and Reduce Lunch Program?	Yes No