8/14/2019 KIPP Academy-2010-11 Student Lottery Application

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KNOWLEDGE IS POWER PROGRAMKIPP Academy 250 East 156

thStreet Rm. 418 Bronx, NY 10451

ForOfficeUseIn/OutDist_________

Free/Red/Pd________

Sibling____________

DateReceived______

Entered___________

Tier_______________ 201011StudentApplicationLotteryEntryDeadline:ApplicationsmustbepostmarkedbyApril8,2010@5pm

LotteryDate:April13,2010@5:30pmatKIPPAcademy

NotificationLetters:MailedtoallapplicantsonApril16,2010

KIPPAcademyCharterSchool isafreemiddleschooldedicatedtoprovidingstudents ingrades5,6,7and8withtheknowledge

character,and

skills

necessary

to

succeed

in

the

nations

top

high

schools

and

colleges

and

beyond.

We

have

opened

up

lottery

entry

forcurrent4th

through7th

gradestudentsthatare interested inenrollingatKIPPAcademyforthe20102011schoolyear. Please

notethatallstudentsarewelcometoenterthelottery,regardlessoftestscores,behavioralhistory,oracademicperformance.

Attendanceatthelotteryisnotrequiredandwillnotaffectyourchildschancesofenteringtheschool. Notificationletters

indicatingyourchildsplaceinthelotterywillbemailedonApril16,2010. Studentswhoareselectedwillbecontactedbyphoneto

enroll. Admissionpreferencewillbegiveninthefollowingorder:

1) Brothers/SistersofcurrentKIPPAcademystudents2) ApplicantsEligibleforFreeorReducedLunchandResidinginNYCSchoolDistrict73) ApplicantsEligibleforFreeorReducedLunchandNotResidinginNYCSchoolDistrict74) ApplicantsNotEligibleforFreeorReducedLunchandResidinginNYCSchoolDistrict75) ApplicantsNotEligibleforFreeorReducedLunchandNotResidinginNYCSchoolDistrict7

Onthebackofthisform,applicantsarestronglyencouragedtosubmitdocumentationsupportingtheirfreeandreducedlunch

eligibility.Completingthisportionoftheformisstrictlyvoluntary,andallinformationprovidedwillbeusedforinternalpurposesonly. Additionally,toobtainmoreinformationaboutyourcommunityschooldistrict,pleasevisit:http://gis.nyc.gov/dcp/at/f1.jsp.

Ifyouareinterestedinhavingyourcurrent4th

7th

graderenterintoKIPPAcademyforthe20102011schoolyear,youmustfillout

theinformationbelowandsubmitittoKIPPAcademyMiddleSchoolinpersonorbymailbyApril8,2010.

StudentName

Whatgradeisyourchildincurrently?

Whatschooldoesyourchildattend?

StudentDateofBirth(M/D/Y)

Parent/GuardianName

Address(includeApt.#)

City,ZIP

PhoneNumber (Home) (Cell)

Email

NameandGradeofCurrentKIPPAcademy

brother/sister(ifapplicable) (Name) (Grade)

NameandCurrentGradeofBrother/Sisterin

Another20102011KIPPLottery(ifapplicable) (Name) (School) (Grade)

HowDidYouHearAboutUs?

Bysigning

and

dating

the

application

below,

Iam

hereby

certifying

that

all

information

provided

is

accurate

and

current.

I

understandthatallinformationwillbeverifiedandenrollmentissubjecttoconfirmationofaccuracyoftheinformationprovided.

______________________________ ___________________________________

Signature Date

Youcanreturnthisformbymailorinpersonto:

Attn:CeciliaMiranda,KIPPAcademyMiddleSchool,250E.156th

Street,4rd

Floor,NewYork,NY10451

PleasecallMs.Mirandawithanyquestionsat(718)6653555x2000

Allreceivedapplicationswillbeconfirmedthroughthemail.Ifyoudonotreceivewrittenconfirmationbeforethelottery,please

contactMs.Miranda. Pleasealsonotethatwhileweacceptapplicationsforeachgradelevel(5th

8th

grade)wehaveveryfewspaces

availableatthe6th,7

thand8

thgrade.

Over

http://gis.nyc.gov/dcp/at/f1.jsphttp://gis.nyc.gov/dcp/at/f1.jsp

8/14/2019 KIPP Academy-2010-11 Student Lottery Application

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