THIS APPLICATION IS AVAILABLE IN OTHER LANGUAGES ONLINE AT GREATPHILLYSCHOOLS.ORG/STANDARDAPP CHARTER SCHOOL STANDARD APPLICATION The Philadelphia Charter School Standard Application (“Standard App”), is a short and simple form that you can use to apply to participating charter schools in Philadelphia. SECTION A: STUDENT & PARENT/GUARDIAN INFORMATION Student Last Name: Student First Name: Student Middle Initial:

Student Current Address: Apt/Unit Number:

City: State: Zip Code:

Date of Birth:

Parent/Guardian Last Name: Parent/Guardian First Name:

Preferred Contact Number: Secondary Contact Number: E-mail:

SECTION B: SCHOOL CHOICE INFORMATION Name of Charter School You Wish to Attend: (Full list of participating schools on back)

Grade Applying To: K4 2nd grade 5th grade 8th grade 11th grade School Year Applying To: 2018-19 Kindergarten 3rd grade 6th grade 9th grade 12th grade 1st grade 4th grade 7th grade 10th grade

SECTION C: SIBLING INFORMATION (OPTIONAL) Does student’s sibling currently attend the charter school you are applying to? Yes If yes, complete Section C No If no, skip to Section D Sibling #1 Last Name: First Name: Date of Birth:

Name of School Sibling #1 Currently Attends:

Sibling #2 Last Name: First Name: Date of Birth:

Name of School Sibling #2 Currently Attends:

SECTION D: PARENT/GUARDIAN SIGNATURE IMPORTANT: By signing this form, you indicate that all information provided is accurate. If any of the information that you have provided changes after turning in this form, please submit an amended form prior to the school’s deadline. Check with the charter school you wish to apply to for application deadlines.

YOU MUST SUBMIT THIS FORM TO THE CHARTER SCHOOL YOU WISH TO ATTEND.

Parent/Guardian Signature: Date:

INTERNAL USE ONLY Received By: Date Received: INSTRUCTIONS 1. Please complete all required felds. 2. SECTION B (“School Choice Information”): From the list of participating schools below, write the name of the charter school you wish to apply to. a. Do not submit this application to any school not included in the list of participating schools. b. STUDENTS APPLYING TO MORE THAN ONE CHARTER SCHOOL: You must fll out a separate application for each charter school you are applying to. Do not write in more than one school in Section B (“School Choice Information”). 3. SECTION C (“Sibling Information”): Complete Section C if the student has a sibling currently at the charter school that you are applying to. Many, but not all, charter schools give lottery preference to applicants with sibling(s) enrolled in the school. You can review all lottery preferences by checking the school’s profle at www.greatphillyschools.org. 4. Submit each completed application to the participating charter school you wish to attend. Forms may be submitted in person at the charter school or via email. Go to greatphillyschools.org/StandardApp for school contact information, including email addresses. 2018-19 PARTICIPATING CHARTER SCHOOLS Ad Prima Charter School MaST Community Charter School Alliance for Progress Charter School MaST Community Charter School II ASPIRA Charter Schools (all campuses)† Mastery Charter Schools (all campuses)† Belmont Academy Charter School Memphis Street Academy Charter School* Belmont Charter High School Multicultural Academy Charter School † New Foundations Charter School: High School Campus Boys’ Latin of Philadelphia Charter School: High School Campus New Foundations Charter School: K-8 Campus Boys’ Latin of Philadelphia Charter School: Middle School Campus Northwood Academy Charter School Charter High School for Architecture and Design Pan American Academy Charter School Community Academy of Philadelphia CS People for People Charter School Esperanza Academy Charter School (all campuses) Philadelphia Electrical & Technology Charter High School First Philadelphia Preparatory Charter School Philadelphia Montessori Charter School Freire Charter High School Preparatory Charter School of Mathematics, Science, Technology and Careers Freire Charter Middle School Richard Allen Preparatory Charter School Global Leadership Academy Charter School Russell Byers Charter School Global Leadership Academy Southwest at Huey* Sankofa Freedom Academy Charter School Imhotep Institute Charter High School Southwest Leadership Academy Charter School Inquiry Charter School Tacony Academy Charter School KIPP Philadelphia Schools (all campuses) TECH Freire Charter High School Laboratory Charter School of Communication and Languages The Mathematics, Civics and Sciences Charter School of Philadelphia, Inc. Lindley Academy Charter School at Birney* Universal Charter Schools (all campuses)† Mariana Bracetti Academy Charter School Wissahickon Charter School: Awbury Campus Maritime Academy Charter: Elementary & Middle School Campus Wissahickon Charter School: Fernhill Campus Maritime Academy Charter: High School Campus Young Scholars Charter School

* This charter school enrolls students residing within that school’s particular geographic boundaries until they reach capacity. View school geographic boundaries at bit.ly/SDPSchoolFinder. † One or more schools within this charter school network enrolls students residing within that school’s particular geographic boundaries until they reach capacity. For more information, please go to greatphillyschools.org/StandardApp. OTHER INFORMATION • Visit greatphillyschools.org/StandardApp for a list of charter school application deadlines. • Participating charter schools may have a different application form. They will accept the Standard App or their own application. • Each charter school has their own lottery preference(s). More details about lottery preferences can be found on each charter school’s profle at greatphillyschools.org. • If your student is selected, the charter school will contact you and provide enrollment information. You will also need to provide proof of residency at your local address (except when a student is homeless and/or awaiting foster care placement). For more details, go to greatphillyschools.org/StandardApp. • To apply to a charter school not listed above, please contact the school for an application form and instructions. A list of all charter schools can be found at bit.ly/philacharters. You can also contact the Charter Schools Offce by calling 215-400-4090 or in person at 440 N. Broad St, Portal B, 1st Fl., Ste. 102. • Go to greatphillyschools.org for more information about all schools in Philadelphia including school model, mission, program offerings, as well as academic results, safety, lottery preferences, and more.