LATE APPLICATION

2017-18 Greater New Orleans Collaborative of Charter Schools Shared Application for Elementary School Admission

Formerly the Eastbank Collaborative of Charter Schools (ECCS)

Please indicate to which school you are applying. You must submit an application to EACH school to which you are applying. This application is separate from and does not count towards “EnrollNOLA" or OneApp.

Audubon Charter School (PK-8) ...... 428 Broadway St., NOLA 70115, (504) 324-7100

Edward Hynes Charter School (Gifted PK-8) ...... 990 Harrison Ave., NOLA 70124, (504) 324-7160

International School of Louisiana Jefferson Campus* (K-8)..... 8101 Simon St., Metairie, LA 70003, (504) 934-4875

Lake Forest Elementary Charter School (K-8) ...... 11110 Lake Forest Blvd., NOLA 70128, (504) 826-7140

Lusher Charter School (K-5)...... 7315 Willow St., NOLA 70118, (504) 862-5110

Robert RussaMoton Charter School** (K-6) ...... 8550 Curran Blvd., NOLA 70127, (504) 245-4400

Pre-K enrollment may be subject to common enrollment systems, such as OneApp for Orleans. Consult with your school of interest for its pre-K procedures.

Deadline for timely applications is January 13, 2017. PLEASE NOTE: Only timely applications will be accepted for schools requiring a lottery. Not all GNOCCS schools will have a lottery and may accept applications year-round. Please call the school for information. The applications will be available on each school’s website, a separate application must be delivered to each school. Supplemental information may be required. This application does not guarantee admission. *Jefferson Parish residents only. **Moton (year round school) will not be using the unified admissions dates-please check the school’s website for information.

STUDENT Information (Please PRINT All Information)

Last Name First Name Middle Name

Student Home Address: ______City, State, Zip ______

Date of Birth (MM/DD/YY): ______Sex: M F Grade applying for: _____ Grade currently in: _____

PARENT/GUARDIAN Information (Please PRINT All Information)

______Mother’s / Parent's / Legal Guardian’s name
______Stepparent (if any)
______Home address
______
City State Zip code
______Mailing address (if different from above)
______
City State Zip code
______Home phone
______Work phone
______Email address
______Cell phone / ______Father’s / Parent's / Legal Guardian’s name
______Stepparent (if any)
______Home address
______
City State Zip code
______Mailing address (if different from above)
______
City State Zip code
______Home phone
______Work phone
______Email address
______Cell phone
With whom does the student live?  Mother  Father /  Both /  Other ______

Guardianship papers attached: Yes No NA

FOR SCHOOL USE
Date Application Received
Year Applying
Grade Applying

If you are not the student's birth parent, please provide a Certified True Copy of the Transfer of Custody/Legal Guardianship. Documentation indicating the purpose of the transfer of custody may also be requested. Legal Guardians must be: (1) appointed by the court, (2) awarded custody by a court judgment, (3) granted temporary custody by a state agency or (4) provisional custody by mandate.

A notarized statement not in compliance with the laws governing custody by mandate is not considered proof of guardianship.

List any other matters you voluntarily wish to list concerning your child’s admission: ______

gnocollaborative.com9/26/16 Student's Name ______

LATE APPLICATION

SCHOOL Information (List most recent first)

School Name / School Phone / City, State / Years Attended / Reason for Leaving (promotion, move, expulsion, etc.)
Name of Siblings / Date of Birth / Name / of School Currently Attending / Grade

Have you ever been enrolled in a New Orleans Public School? YES NO

Please check the one below that best describes your child's Pre-Kindergarten education (Kindergarten applicants only).

01 PUBLIC School Pre-Kindergarten This code covers all of the Pre-Kindergarten classes in public school settings---LA 4, 8(g), Title I, Even Start, Gifted, EEF, locally and/or federally-funded. Classes in charter schools and self-contained special education preschool classes would also fall under this group

02 NONPUBLIC Pre-Kindergarten This code covers state-approved programs located in parochial/faith-based settings.

03 LICENSED Childcare Childcare/day care centers that meet licensing requirements of DCFS.

04 FAMILY DAY CARE HOME PROGRAM Programs in which someone keeps a maximum of six children under the age of 12 in their home.

05 HEAD START PROGRAMS Pre-Kindergarten programs operated by a Head Start grantee

06 TRIBAL SCHOOLS Pre-Kindergarten programs located in tribal schools

07 HOME Child did not attend any of the above Pre-Kindergarten programs on a regular basis but remained at home with parent or guardian.

NOTE: Please be aware that these codes and definitions are subject to change based on further review of data. Incomplete applications will NOT be processed.

COMPLETE APPLICATIONS MUST INCLUDE COPIES OF THE FOLLOWING:

Last year’s final report card (for grade placement)

Student’s birth certificate

Student’s immunization record

Other states' standardized tests (if applicable)

Three (3) proofs of residency (not required for application to Audubon or Lusher Charter Schools until acceptance)

AFDC card (Aid to Families with Dependent Children)
Homestead exemption form / Property tax bill
Cable or Internet service bill
LA State ID or LA Drivers License
Entergy bill (utility) and (gas and electricity)
Voter Registration Card / Telephone bill (not cell phone)
Current lease or mortgage
Official letter from a Family Services caseworker
Sewerage/water board bill
Payroll check stub with home address
Homeless Verification Form

Insurance card (auto or medical)

(All proofs of current residency must be in the parent's/guardian's name(s) and at the same address as the student)

Certification:

I certify that I am legally responsible for the child for whom this application is being made and have the legal right to apply, on behalf of the child, for admissions and to register the child if placement is offered. I understand that I will be requested to provide documentation (IEP/504) on any handicapping, gifted or special needs for the student after acceptance. I have responded to all sections of this application and certify that all the information contained herein is true to the best of my knowledge. I understand that falsification of any part of this application will render the entire application and attached documents null and void and any placement offered will thereby be revoked.

Parent/Guardian Signature: ______Date: ______

Each of the member charter schools of the Greater New Orleans Collaborative of Charter Schools does not discriminate in the rendering of services to/or regarding employment of individuals because of race, color, religion, sex, gender, age, national origin, disability, veteran status or any other legally protected basis and provides equal access to the Boy Scouts and other designated youth groups. gnocollaborative.com