Saturday, February 4, 2012

Charter School of San Diego

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Admissions Request Form

To begin the application to enroll process, please complete the following form and click 'submit.' NOTE: Immediately notify your student's current school counselor of your intention to enroll at The Charter School of San Diego.

Student Information

First Name:
Last Name:
Date of Birth: (MM/DD/YYYY)
Grade:
Gender: Male Female
Address:
City:
State: ZIP:
Daytime Phone:
Cell Phone:
E-Mail:

Previous/Current School:
City:
State: ZIP:

Has student ever participated in a special education program? Yes No
Has student ever been suspended? Yes No
If Yes, please explain:
Has student ever been asked to leave a school permanently? Yes No
If Yes, please explain:

Parent/Guardian Information
Parent/Guardian One:

First Name:
Last Name:
Address:
City:
State: ZIP:
Daytime Phone:
Cell Phone:
E-mail:

Parent/Guardian Two:

First Name:
Last Name:
Address:
City:
State: ZIP:
Daytime Phone:
Cell Phone:
E-mail:

General Information

How did you hear about our school? Counselor/Teacher
School District Office
Family/Friend
Website
Newspapers/Magazines
Community Bulletin Board / Flyer
Radio
Other
Comments:

Phone: (858) 678-2020 • Fax: (858) 552-6666

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