Student Enrollment Application

Submitted by kris on January 27, 2010 - 11:24pm

Applications may be submitted online using the form below. If you prefer to fill out a printed application, please download the application file located at the bottom of this page. Please complete a separate application form for each child you wish to enroll. Please Note: A non-refundable registration fee of $100 is charged for Full Day Kindergarten.

Online Application for Southwest Charter School

Fields marked by a * are required.

Student Information

School Year: *

Student's First Name: *

Student's Last Name: *

Student's Middle Initial:

Sex: *

Male

Female

Date Of Birth: *

Please enter in mm-dd-yyyy format (eg 01-25-1999)

Grade Entering: *

Student's Street Address

Student Address 1: *

Street address, P.O. box, c/o

Student Address 2:

Apartment, suite, unit, building, floor, etc.

City: *

State: *

Zip Code: *

County: *

Parent/Guardian 1

First Name: *

Last Name: *

Address Line 1: *

Street address or P.O. box

Address Line 2:

Apartment, unit, building, floor, etc.

City: *

State: *

Zip Code: *

Home Phone: *

Example: 503-555-1212

Work Phone:

Example: 503-555-1212

Cell Phone:

Example: 503-555-1212

Parent/Guardian 2

First Name:

Last Name:

Address Line 1:

Street address or P.O. box

Address Line 2:

Apartment, unit, building, floor, etc.

City:

State:

Zip Code:

Home Phone:

Example: 503-555-1212

Work Phone:

Example: 503-555-1212

Cell Phone:

Example: 503-555-1212

Who does the child live with?: *

Parent or Guardian 1

Parent or Guardian 2

Both Parents or Guardians

Other (fill in below)

Other:

School Information

Name Of Current School:

Address Line 1:

Street address, P.O. box

Address Line 2:

Apartment, suite, unit, building, floor, etc.

City:

State:

Zip Code:

Current School District:

How did you hear about Southwest Charter School?: *

Other source:

Sibling Information

First Name Of 1st Sibling Applying For SWCS:

Remember, a separate application is needed for each student applying to SW Charter School!

Last Name Of 1st Sibling Applying For SWCS:

Age Of 1st Sibling:

Grade Entering in September (Sibling 1):

First Name Of 2nd Sibling Applying For SWCS:

Last Name Of 2nd Sibling Applying For SWCS:

Age Of 2nd Sibling:

Grade Entering in September (Sibling 2):

Terms

I will be responsible for the transportation of my child to and from Southwest Charter School.

I authorize release of my child's school records to Southwest Charter School.

I have read the information available on the website and I agree with the underlying philosophies and practices of Southwest Charter School which will include ample field work.

I understand that a yearly non-refundable registration fee and monthly tuition will be charged for the Full-day Kindergarten program.

I have read and agree to the terms listed above: *

You must agree to the terms for your application to be considered.

Your e-mail address:

Please enter your main e-mail address

Name of Person Submitting Application: *

Relationship to Student: *

Date Application Completed: *

Application Download

If you prefer to print and fill out an application form, please use the link below.

Attachment	Size
09-10 Student Enrollment Application.pdf	152.69 KB
10-11 Student Enrollment Application.pdf	155.07 KB

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School Location: 5839 SW Hood Ave Portland (map) 503-244-1697

Now Accepting Student Applications for 2010-11 for K-8th Grade. Applications for 2009-10 are still being accepted. Click here to apply.

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