Waiting List Packet

Compass Academy

Charter School

2018–2019

Waiting List Packet

Student’s Name______Grade______

Application Information

Thank you for considering Compass Academy Charter School (“Compass”) for your child’s educational advancement. Compass is devoted to providing a quality education through an environment designed to help each child develop as a student and member of the community.

Following is the Compass Academy Charter School Application Form. Compasswill not accept partial applications, and cannot review an application until all information has been provided.

Upon receipt of a completed Application Form, Compass will review the information provided to make a conditional admissions decision based on your child’s residency, disciplinary/criminal history (if any), and the availability of open seats in the requested grade level.

All new students with qualifying residency and disciplinary/criminal history will be notified of their conditional admission and enrollment pending the close of the admission period and, if more qualifying applications than seats available are received, the results of the admissions lottery. Parents of conditionally admitted students will be asked to provide additional student information necessary for Compass to prepare for the student’s potential enrollment.

If you have any questions regarding the application process, please contact our office.

Compass Academy Charter School

Application Form

2018–2019 School Year

Please type or print legibly in blue or black ink.

All information must be filled out to complete enrollment.

Choose Enrolling Grade for 2018-2019:

Is the enrolling student a sibling of a returning Compass Academy student?

If yes, please list name(s) and grade(s).

Student Information

Student’s Last NameStudent’s First NameMIBirth Date

Mailing AddressApartment #CityStateZip Code

Physical AddressApartment #CityStateZip Code

Home Phone (with area code)

Enrolling Parent/Guardian Information

Name (Please Print) Relationship to Student

Work Phone (with area code)Cell Phone NumberE-mail Address

Parent/Guardian Information

Father’s Last NameFather’s First NameMICell Phone #Home Phone (with area code)

Home AddressApartment #CityStateZip Code

Mother’s Last NameMother’s First NameMICell Phone #Home Phone (with area code)

Home Address (if different than Father’s)Apartment #CityStateZip Code

Compass Academy Charter School

Application Form

2018–2019 School Year

School Information

Campus ID of Residency (the campus the child would attend in a school district)

Name of Current School OR DaycarePhone Number (with area code)

School AddressCityStateZip Code

Does the child receive services or enrolled in any of the following programs at current school: Please check all that apply.

___GT program ___AP or Pre- AP class/classes __AVID program __504 __Speech __Special Education(Early Childhood, PPCD, etc.)

Does the child have a documented history of a criminal offense, a juvenile court adjudication, or discipline problems under SubchapterA, Chapter37 of the Texas Education Code, i.e., has the student ever been suspended or expelled from school, convicted of a felony, placed on probation or parole, or spent time in an alternative education facility such as a Disciplinary Alternative Education Program (DAEP) or Juvenile Justice Alternative Education Program (JJAEP)? ______

If you answered “Yes” to the question above, please provide an explanation in the space below and provide any and all documentation related to the child’s disciplinary history. If more space is needed, you may attach a separate piece of paper to this form.

______

Parent/Guardian SignaturePrinted NameToday’s Date

Compass Academy Charter School does not discriminate in its admissions and enrollment process on the basis of sex; national origin; ethnicity; religion; disability; academic, artistic, or athletic ability; or the district the child would otherwise attend. However, in accordance with State law and our open-enrollment charter, we reserve the right to deny admission to a student who has a documented history of a criminal offense, a juvenile court adjudication, or discipline problems under Subchapter A, Chapter37 of the Texas Education Code.