PRIDE
•
RESPECT
•
EXCELLENCE
•
PURPOSE
New York State Charter School Uniform Application Form
Section A: To be completed by Charter School
Applicable School Year:
Name of Charter School:
Contact Information for Charter
School:
Application Deadline:
Lottery Date and Location:
Directions for Submission of
Applications:
2016-2017
New World Preparatory Charter School
26 Sharpe Avenue, Staten Island, NY 10302
718-705-8990
www.newworldprep.org
April 1, 2016
April 6, 2016 at 4:30 pm in the school’s Gymnasium
Applications can be submitted by mail or in person to the school’s address listed
above. Online applications are also available and may be submitted at
https://app.jumpro.pe/CharterApplication.html. Applications received after the
April 1, 2016 deadline will not be placed into the lottery but will receive a place on
the waitlist.
The school has a lottery preference for students who are English Language Learners
(ELL), Limited English Proficient (LEP) and those who reside in homes where
languages other than English are spoken. There is also a preference for siblings of
current students. An application must be submitted for each sibling before the
lottery deadline. It is not required that you provide information for these
preferences, however if relevant information is not indicated on the application, the
student will be placed into the general lottery and will not qualify for preferences.
If information on the application is incorrect, the application will be considered
invalid, and any offer made for a place in the school based on this information will
be taken back.
If the student’s or parent/guardian’s address or phone numbers change, please notify
the school, so that we may contact you in the event that the student is offered a
place at the school.
Non-Discrimination Statement: A charter school shall not discriminate against or limit the admission of any student on
any unlawful basis, including on the basis of ethnicity, national origin, gender, disability, intellectual ability, measures of
achievement or aptitude, athletic ability, race, creed, national origin, religion or ancestry. A school may not require any
action by a student or family (such as an admissions test, interview, essay, attendance at an information session, etc.) in
order for an applicant to either receive or submit an application for admission to that school.
Admission is preferential for English Language Learners/Limited English Proficient students, and for those who live in
homes where languages other than English are spoken. The academic program provides strong supports for English
Language Arts. If an applicant chooses not to provide this optional information, the applicant cannot be disqualified for
admission to the school (although the applicant will not receive the admissions preferences). The school will verify
information below to confirm that applicants are eligible to receive the applicable preferences. These preferences have been
approved
by
the
school’s
authorizer
and
are
permissible.
Page 1 of 2
Uniform Charter School Application created by the New York State Education Department
PRIDE
•
RESPECT
•
EXCELLENCE
•
PURPOSE
Section B: To be completed by Applicant
Note: A separate application must be completed and submitted for each child applying for admission.
Applicant Student Information:
1.* Name (First, Last):
2.* Date of Birth (MM/DD/YYYY):
3.* Gender (circle one):
4.* Home Address (street address, city, state,
zip code):
5.* School District (or New York City
Community School District), if known:
6.* Grade Applying for:
7.* Does the applicant student have a sibling(s)
who is currently enrolled in this charter school?
(circle one). If yes, list at least one sibling’s
name, current grade and date of birth.
8. Name of Student’s Current School:
9. OSIS (or ATS) ID number, if known:
Male / Female
Yes / No
Parent/Guardian Information:
1.* Name (First, Last):
2.* Relationship to Student:
3. Home Address (street address, city, state, zip
code):
4. * Phone Number(s), if available:
5. Email Address(es):
6. Second Parent’s Name (First, Last):
7. Relationship to Student:
8. Home Address:
9. Second Parent’s Phone Number(s):
10. Email Address(es):
Providing the information below is voluntary, not necessary for submitting the application, and will have no bearing on
the student’s potential admission to the school:
The school has a lottery preference for students who are English Language Learners (ELL), Limited English
Proficient (LEP) and those who reside in homes where languages other than English are spoken. It is not required
that you provide this information, however if a language other than English is spoken at home and not indicated on
the application, the student will be placed into the general lottery and will not qualify for the preference.
Student is in English as a Second Language classes or bilingual classes (circle one) YES / NO
Language other than English spoken at home:______________________________
Parent/Guardian Signature: ______________________________ Date: ___________________
How did you hear about NWP Charter School? NWP Students/Parents Direct Mailing
Schools _______________ Other_________________
Newspaper/ Magazine
* The items marked with an asterisk (*) are the only items that may be required in order to apply to this charter school. Any
items not marked by an (*) are optional.
FOR OFFICIAL USE ONLY
RECEIVED ON: ______________
CSD: _______ SIB:__________ ELL:__________ LOTTERY NUMBER: _______ OF ______
Page 2 of 2
Uniform Charter School Application created by the New York State Education Department