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

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ForOfficeUseIn/OutDist_________

Free/Red/Pd________

Sibling____________

DateReceived______

Entered___________

Tier_______________ 201011StudentApplicationLotteryEntryDeadline:ApplicationsmustbepostmarkedbyApril8,2010@5pm

LotteryDate:April13,2010@5:30pmatKIPPSTAR

NotificationLetters:

Mailed

to

all

applicants

on

April

16,

2010

KIPP STAR Charter School is a freemiddle school dedicated toproviding students in grades5, 6, 7 and8with the knowledge

character,andskillsnecessarytosucceedinthenationstophighschoolsandcollegesandbeyond.Wehaveopeneduplotteryentry

forcurrent4th

through7th

gradestudentsthatareinterestedinenrollingatKIPPSTARforthe20102011schoolyear. Pleasenote

thatallstudentsarewelcometoenterthelottery,regardlessoftestscores,behavioralhistory,oracademicperformance.

Attendanceatthelotteryisnotrequiredandwillnotaffectyourchildschancesofenteringtheschool. Notificationletters

indicatingyourchildsplaceinthelotterywillbemailedonApril16,2010. Studentswhoareselectedwillbecontactedbyphoneto

enroll. Admissionpreferencewillbegiveninthefollowingorder:

1) Brothers/SistersofcurrentKIPPSTARstudents2) ApplicantsEligibleforFreeorReducedLunchandResidinginNYCSchoolDistrict53) ApplicantsEligibleforFreeorReducedLunchandNotResidinginNYCSchoolDistrict54)

Applicants

Not

Eligible

for

Free

or

Reduced

Lunch

and

Residing

in

NYC

School

District

5

5) ApplicantsNotEligibleforFreeorReducedLunchandNotResidinginNYCSchoolDistrict5Onthebackofthisform,applicantsarestronglyencouragedtosubmitdocumentationsupportingtheirfreeandreducedlunch

eligibility.Completingthisportionoftheformisstrictlyvoluntary,andallinformationprovidedwillbeusedforinternalpurposes

only. Additionally,toobtainmoreinformationaboutyourcommunityschooldistrict,pleasevisit:http://gis.nyc.gov/dcp/at/f1.jsp.

Ifyouareinterestedinhavingyourcurrent4th

7th

graderenterintoKIPPSTARforthe20102011schoolyear,youmustfilloutthe

informationbelowandsubmitittoKIPPSTARMiddleSchoolinpersonorbymailbyApril8,2010.

StudentName

Whatgradeisyourchildincurrently?

Whatschooldoesyourchildattend?

StudentDateofBirth(M/D/Y)

Parent/Guardian

Name

Address(includeApt.#)

City,ZIP

PhoneNumber (Home) (Cell)

Email

NameandGradeofCurrentKIPPSTAR

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

NameandCurrentGradeofBrother/Sisterin

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

HowDidYouHearAboutUs?

Bysigninganddatingtheapplicationbelow,Iamherebycertifyingthatallinformationprovidedisaccurateandcurrent.I

understandthatallinformationwillbeverifiedandenrollmentissubjecttoconfirmationofaccuracyoftheinformationprovided.

______________________________ ___________________________________

Signature Date

Youcanreturnthisformbymailorinpersonto:

Attn:BeatricePadilla,KIPPSTARMiddleSchool,433W.123rd

Street,4th

Floor,NewYork,NY10027

PleasecallMs.Padillawithanyquestionsat(212)9912650x3001

Allreceivedapplicationswillbeconfirmedthroughthemail.Ifyoudonotreceivewrittenconfirmationbeforethelottery,please

contactMs.Padilla. 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 STAR- 2010-11 Student Lottery Application

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