Prospect Form 2019

Linwood Public Charter School is currently enrolling students in Grades Pre K – 8th for the 2019-20 school year. LPCS helps develop and strengthen ethical, moral, and civic values; equipping students with the knowledge, skills, and social judgment to help them face the challenges of the future. LPCS provides equal access to a tuition-free, public education for all students, regardless of “intellectual or athletic ability, measures of achievement or aptitude and status as a handicapped person.

Please fill out the form below.

Name *

First

Middle

Last

Date of Birth *

Age *

Gender *

Grade To Enter *

Home Address *

City *

State *

Zip Code *

Present School *

Present Grade *

Social Security Number *

Does your student have an IEP/504 Plan? *

What School District does the student reside in? *

Has student ever been expelled? *

If yes, please explain.

Parent/Guardian *

Full Name

Relationship To Student *

Home Address

If different from student.

Phone Number *

Email *

Parent/Guardian Signature *

Today's Date *

How did you learn about our School?

Name

You will need to provide with this completed form your child’s: Birth Certificate, Social Security Card, Immunization Record, and his/her last Report Card.

Prospect Form 2019

Please fill out the form below.

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