Online Application

Applicant Information
Student Name*
Date of Birth*
Type of Admission*
Current Grade*
Grade in which student requests admission*
Current School*
Name of Parent/Guardian*
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?



Please list the name of relative(s)
Name of person completing this form 


Security Measure