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Online Student Application

Initial Student Application

Initial Student Application

 

Applying For Grade  Year 2017-18     2018-19   Fall   Q2   Q3    Q4

The application period for the 2018-2019 school year is from February 1, 2017 to January 31, 2018, 4 pm.

Applications must be received during these dates to be included in the annual lottery
to be held on February 15, 2018.

   Please see Tennessen Warning contained within Spectrum High School's Data Practices Policy-

   Data Subjects, policy #513, located on the School's website regarding your rights when sharing private

   or confidential information.

 

Applicant's Last Name:   First:   Middle: (full)

Home Address:

City:   State:   Zip:   Home Phone:

Student's grade today or at the close of most recent school year

 IMPORTANT
Yes NoStudent has a sibling enrolled at Spectrum High School?
Yes NoStudent is a child of a current Spectrum High School staff member?
Yes NoStudent's application to be included in the lottery each year until enrollment is offered? A decline of enrollment voids the Initial Student Application. (You must inform the school of contact changes.)

A charter school shall give enrollment preference to a sibling of an enrolled pupil, and to a foster child of that pupil’s parents, and may give preference for enrolling children of the school’s staff before accepting other pupils by lot (MN Statue, section 124.E.11(c)). If a student becomes a sibling of a currently enrolled student or a parent becomes employed at SHS or leaves employment at SHS, it is the parent's responsibility to notify the school of this change in their child(ren)'s enrollment preference status.

Mother (*If other, please describe):

Full name:   Email address:

Same as Above

Home Address: City: State:   Zip:

Home Phone:    Cell Phone:    Work Phone:

Father (*If other, please describe):

Full name:   Email address:

Same as Above

Home Address: City: State:   Zip:

Home Phone:    Cell Phone:    Work Phone:

Sibling NameGradeSibling NameGrade

By signing this application, I affirm that the information given is correct and the student is eligible for the grade for which I am applying. *If I am not the student’s parent, I understand I must provide documentation of legal custody (verifying guardianship) prior to enrollment. I further understand that incomplete applications will not be processed.

Parent/Guardian Signature:   Date: 

If you have any questions regarding this application, please contact the Admissions Office at
(phone) 763-241-8703, (fax) 763-450-9865, or (email) admissions@spectrumhighschool.org

Office Use Only

Date Application Received: __________________________   Sibling or staff preference: ___ Yes   ___ No   
Application received notice sent: ___ Yes (attach copy)

To be included in lottery:  __ Yes  ___ No    Lottery Date: __________________  Lottery results notice sent:   ___ Yes

__ Parent declined enrollment, pull application.  __ Parent declined enrollment but requested to remain on waiting list.

Enrollment State Date: ____________________________ School Year of Enrollment: FY ______

Re-Enrollment Start Date: __________________

Spectrum High School admits students of any race, color, national and etnic origin to all rights, privileges, programs and activities made available to students at the school. Spectrum High School will not limit admissions to pupils on the basis of intellectual ability, measurs of achievement or aptitude, or athletic ability and will comply with all federal and state laws prohibiting discrimination.                                                                                                                                 Revised 4/10/2017



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