Miami Arts Charter School Application for Admission 2010-2011

* Student's Last Name

* Student's First Name

* Student's Middle Name

M-DCPS ID Number (if any)

* Gender

* Date of Birth (xx/xx/xxxx)

* How did you hear about us?

* School applying for:

* Next year's grade level

* School Currently Attending:

* Street Address

* City

* State

* Zip

* Parent's Last Name

* Parent's First Name

* Home Phone

* Parent's Work Phone

* Parent's Cell Phone

* Student's Cell Phone

* PLEASE REMEMBER TO DISABLE MESSAGES GOING TO YOUR EMAIL JUNK OR SPAM BOX. IF NOT, YOU MAY NOT RECEIVE FUTURE MESSAGES FROM US.

Student Email: (If no student email, please repeat parent's email here)

* Parent's Email: (Important: Please double-check that both emails are correct)

* Please read carefully and select from the following. Select the major art area of interest to you. Be sure to select the area that best describes your experience level:

If you wish to audition for a second-choice art area, select the area that best describes your experience level. Please do not repeat your first choice area. Students accepted into two areas must ultimately select one upon registration.

* If you chose music, please select the primary instrument or voice:

* If you chose music, do you own your primary instrument?

If you chose music, please select the secondary instrument or voice (if any):

If you chose music, do you own your secondary instrument?

You may attach up to two documents to help us better understand your achievement level (letters of recommendation, awards, recognitions, special experiences, etc...). All documents must be in either MS Word or PDF formats. (optional)

Document 2 (optional)

* Please check ALL of the following that apply:

Student is receiving special instruction/services resulting from an IEP

Current education plan is modified as a result of Section 504 recognition

Honors student

ESOL Student

Exceptional Student Education (ESE)

Student is dependant on an active member of the US military

Student has a sibling currently attending Miami Arts Charter School

None of the above

* Indicates Response Required