Barack Obama GreenCharter Schools

Student Name*
Address*
Date of Birth*
Type of Admission*
--Immediate TransferFall Admission 2024
Current Grade*
--Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12
Grade in which student requests admission*
--Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12
Current School*
Name of Parent/Guardian*
Relationship*
--MotherFatherGuardian
Parent/Guardian Cell Phone Number*
Parent/Guardian Home Phone Number*
Parent/Guardian Email*
Name of Parent/Guardian 2*
Is the applicant related to any student that currently attends The Barack Obama Green Charter HS?
Yes  No
Please list the name of relative(s)
Name of person completing this form

 

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