The Classical Academy Charter School of Clifton
APPLICATION FOR ADMISSION
Name of Student
Date of Student Birth
The student is applying entrance into what grade level?
Name of Parent(s) or legal guardian(s), their addresses and phone numbers
First and last name of Mother
Street Address
City, State, Zip Code
Area code and phone number
First and last name of father
Street Address
City, State, Zip Code
Area Code and Phone Number
Does the student reside with both mother and father:
Yes
No
If no, please state the name, address, and phone number of the parent or guardian with whom the student legally resides
Name,First and Last
Street Address
City, State, Zip Code
Area Code and Phone Number
During this school year of 1999-2000,does the student attend a NON-PUBLIC (private, catholic, sectarian school)
Yes
No
If YES, please state the name, address, and phone number to that private school.
Name of Non-Public (private) School
Street Address of Non-Public School
City, State, Zip Code
School Phone Number
If circles "No", please state the name, address, and phone number of the public-school which the student attends during this school year.
Name of Public School
Street address of public school
City, State, and Zip Code
School Phone Number
Is this school a Clifton Public School operated by the Clifton Board of Education?
Yes
No
