Help Shape This School

Please signup to be on our mailing list if you would like to receive further information about our school and its latest developments.
We are accepting potential parents and students in our Parent and Student Advisory Groups to provide us with valuable input so that this school can better serve them.
Our Focus Groups, assembled every few months, also provides us with important information.

Special note: We understand and respect that your participation is voluntary. Filling out this form does not obligate you in any way to participate in any event. It also does not guarantee enrollment; charter school law requires that equal weight be given to every student interested in enrollment.
Your information will be kept confidential.

First Name


Middle Initial

Last Name


Age

Current School


Grade

Male
Female

Ethnicity (Optional)

Address


Apartment #


City

State


Zip
Phone Number


eMail Address

Check boxes if interested in any of the following:
Focus Groups
Student Advisory Group
Parent Advisory Group		 Preferred contact method:
eMail Correspondance
Phone Contact
Postal Mail