CLASSICAL SCHOOL ENROLLMENT APPLICATION FOR 2009-2010
3310 N. Durkee Street - Appleton, WI 54911 - Phone: (920) 997-1399 Ext. 3398/Fax: (920) 997-1390 - www.classicalcharter.com
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

NAME OF STUDENT APPLICANT_________________________________________________________________

Date of Birth ____/       /_______   CURRENT Grade _______   Grade during the 2009-10 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 ____________________________ Student’s Current School ____________________________

· Do you reside in the Appleton Area School District? _________

· What is the neighborhood school assigned to your residence? __________________________________

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

· Does your child receive special education? Yes______ No ______

 If yes, does the child have an individualized education program (IEP)? ________

· Does your child qualify for free or reduced lunch?  Yes______ No ______ (See our website  for eligibility information) ****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? _______ If yes, what is the name

of the school? _______________________________ What city and state? _________________________

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

o Music Choice: Band ___________________ Orchestra___________________ Chorus________
                              (List instrument)        (List instrument)

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

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

Parent/Guardian Signature:        ____________________________________________________________

In order to be included in the enrollment lottery, applications must be returned between November 1, 2008 and January 15, 2009.  Applications received after January 15, 2009 will be processed in the order in which they are received.  Send applications to:
Classical School Attention: Kathleen Povolny - 3310 N. Durkee Street; Appleton, WI 54911

You will be notified of lottery enrollment status via postal mail by February 1, 2009. Transportation for charter school students is the responsibility of the parent/guardian.  Please contact our program support specialist, Kathy Povolny, at (920) 997-1399 ext. 3398 or povolnykathlee@aasd.k12.wi.us with all enrollment questions.