NAME OF STUDENT APPLICANT_________________________________________________________________

Date of Birth_______________ Student’s Grade during 2007-08 School Year_____________

Parents/Guardians ____________________________________________________Phone ___________________

Address: __________________________________City _______________________ Zip_____________
(IF YOU LIVE OUTSIDE OF THE AASD SCHOOL DISTRICT, call 832-6116 to confirm open enrollment information.)

Email Address ______________________________ Child’s Current School ______________________________

· Do you reside in the Appleton Area School District? ________ If yes, what is your neighborhood school? _____________________.

If no, what is your school district? ______________________________

· Does a sibling attend Classical? ________ If yes, child’s name ______________________Grade ______

· Does your child receive special education? (circle one)        Yes         No        If yes, does the child have an individualized education program (IEP)? ________

· Does your child qualify for free or reduced lunch?  (circle one)        Yes         No          (CLICK HERE for eligibility requirements)  ***PLEASE NOTE: Providing this information is optional.  Priority in the lottery is given to students who qualify for free and reduced lunch; however, providing this information is not required and is strictly optional. ****

· Is your child currently enrolled in an Official Core Knowledge School? _______ (School)___________________________  (City)___________________

For students who will be entering GRADES 7 AND 8 ONLY:

o Music Choice (List instrument) : Band ______________________ Orchestra___________________ Chorus__________________

o Has your child studied Spanish? If yes, for how long? ________________________________

o What is your child’s current math text and level? _______________________________________

Ø Parent/Guardian Signature_______________________________________________________________

Applications must be returned between November 1, 2006 and January 15, 2007 to: Classical School 3310 N. Durkee Street - Appleton, WI 54911.  You will be notified of enrollment status via postal mail by February 1, 2007. Transportation for charter school students is the responsibility of the parent/guardian. Please contact one of our program support specialists, Kathy Povolny, at (920) 997-1399 ext. 3397 or povolnykathlee@aasd.k12.wi.us or Nancy Fischer at (920) 997-1399 ext. 3398 or fischernancy@aasd.k12.wi.us with any enrollment questions you may have.

The Appleton Area School District does not discriminate against pupils on the basis of sex, race, religion, national origin, ancestry, creed, pregnancy, marital or parental status, sexual orientation or physical, mental, emotional, or learning disability or handicap in its education program or activities.