2020-2021

Application for Enrollment

Applying for Grade: *

Student Information

Student's First Name *

Student's Middle Name

Student's Last Name *

Suffix

Date of Birth * +

City of Birth

Gender *

School your child currently attends: *

Student's T-shirt Size

Parent/Guardian #1 Information

First Name *

Last Name *

Suffix

Relationship to Student *

Child's Residency Status *

Street Address *

City *

State *

Zip *

Primary Phone Number: *

Phone Type: *

Secondary Phone Number:

Phone Type:

Email Address: *

Parent/Guardian #2 Information (Optional)

First Name

Last Name

Suffix

Relationship to Student

Child's Residency Status

Street Address

City

State

Zip

Primary Phone Number:

Phone Type:

Secondary Phone Number:

Phone Type:

Email:

Enrollment Priority

Enrollment priority given to siblings of accepted or enrolled students and students who attended a matriculated school.

Does student have siblings already attending or applying to Wellspring Preparatory High School? If Yes:

Name(s)

Grade(s)

Response

Attending

Applying

Did the student attend a matriculation school at any point in the past? If yes: (CHOOSE ALL THAT APPLY)

WHICH OF THE FOLLOWING MADE YOU AWARE OF THE SCHOOL? (CHOOSE ALL THAT APPLY) *

WHAT ARE THE REASONS YOU ARE CHOOSING TO APPLY TO THE SCHOOL? (CHOOSE ALL THE APPLY) *

By signing and submitting this application, I verify that the information I have provided is true to the best of my knowledge and that I have read, understand and agree to the Terms and Conditions.

If you have any questions or concerns about applying, please contact the school office for additional information.

Parent/Guardian Signature *

Date (mm/dd/yyyy) *

1031 Page Street NE - Phone: (616) 235-9500 - Fax: (616) 233-2526

Chandler Woods Charter Academy	Walker Charter Academy
Knapp Charter Academy	Ridge Park Charter Academy
River City Scholars Charter Academy

MAILER	DOOR HANGER	FRIEND	FACILITY SIGN
RADIO	TELEVISION	BILLBOARD	FLIER
NEWSPAPER	COMMUNITY EVENT	INTERNET	OTHER OTHER

ACADEMICS	LOCATION	MORAL FOCUS
PARENTAL INVOLVEMENT	SAFE ENVIRONMENT	OTHER OTHER