Online Application for Southwest Charter School
  1. Applications may be submitted online using the form below. Please complete a separate application form for each child you wish to enroll.
    Please Note: A non-refundable registration fee of $100 is charged for Full Day Kindergarten.

    If you prefer to fill out a hardcopy of the application, please download and print the file(s) below:
    12-13 student enrollment application.pdf
    13-14 student enrollment application.pdf

    ***Do not close this window during the application process or the process will have to be restarted from the beginning.***


  2. Student Information:
  3. School Year:*
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  4. Students First Name:*
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  5. Students Last Name:*
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  6. Students Middle Initial:
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  7. Sex:*
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  8. Date of Birth: (mm/dd/yyyy)*
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  9. Grade Entering:*
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  10. Page 1 of 10

  11.  
  1. Student's Street Address:
  2. Student Address Line 1:*
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    Street address, P.O. box, c/o
  3. Student Address Line 2:
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    Apartment, suite, unit, building, floor, etc.
  4. City:*
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  5. State:*
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  6. Zip Code:*
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  7. County:*
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  8. Page 2 of 10

  9.  
  1. Parent/Guardian 1:
  2. First Name:*
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  3. Last Name:*
    Invalid Input
  4. Address Line 1:*
    Invalid Input
    Street address, P.O. box, c/o
  5. Address Line 2:
    Invalid Input
    Apartment, suite, unit, building, floor, etc.
  6. City:*
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  7. State:*
    Invalid Input
  8. Zip Code:*
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  9. Home Phone*
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    Example: 555-555-5555
  10. Work Phone
    Invalid Input
    Example: 555-555-5555
  11. Work Phone Extension
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  12. Cell Phone
    Invalid Input
    Example: 555-555-5555

  13. Page 3 of 10

  14.  
  1. Parent/Guardian 2:
  2. First Name:
    Invalid Input
  3. Last Name:
    Invalid Input
  4. Address Line 1:
    Invalid Input
    Street address, P.O. box, c/o
  5. Address Line 2:
    Invalid Input
    Apartment, suite, unit, building, floor, etc.
  6. City:
    Invalid Input
  7. State:
    Invalid Input
  8. Zip Code:
    Invalid Input
  9. Home Phone
    Invalid Input
    Example: 555-555-5555
  10. Work Phone
    Invalid Input
    Example: 555-555-5555
  11. Work Phone Extension
    Invalid Input
  12. Cell Phone
    Invalid Input
    Example: 555-555-5555

  13. Page 4 of 10

  14.  
  1. Who does the child live with?:*




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  2. Other:
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  3. Page 5 of 10

  4.  
  1. School Information:
  2. Please describe you child's current school:*








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  3. Name Of Current School:
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  4. Current School Address Line 1:
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  5. Current School Address Line 2:
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  6. Current School City:
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  7. Current School State:
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  8. Current School Zip Code:
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  9. Current School District:
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  10. Page 6 of 10

  11.  
  1. How did you hear about Southwest Charter School?:






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  2. Other source:
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  3. Page 7 of 10

  4.  
  1. Sibling Information:
  2. Sibling of Existing Southwest Charter Student:*
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  3. First Name Of 1st Sibling Applying For SWCS:
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    Remember, a separate application is needed for each student applying for SWCS:
  4. Last Name Of 1st Sibling Applying For SWCS:
    Invalid Input
  5. Age Of 1st Sibling:
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  6. Grade Entering in September (Sibling 1):
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  7. First Name Of 2nd Sibling Applying For SWCS:
    Invalid Input
    Remember, a separate application is needed for each student applying for SWCS:
  8. Last Name Of 2nd Sibling Applying For SWCS:
    Invalid Input
  9. Age Of 2nd Sibling:
    Invalid Input
  10. Grade Entering in September (Sibling 2):
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  11. Page 8 of 10

  12.  
  1. Your e-mail address:*
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  2. Relationship to Student:*
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  3. Name of Person Submitting Application:*
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  4. Date Application Completed*
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    (mm/dd/yyyy)

  5. Page 9 of 10

  6.  

  1. Terms:
  2. I will be responsible for the transportation of my child to and from Southwest Charter School.

    I authorize release of my child's school records to Southwest Charter School.

    I have read the information available on the website and I agree with the underlying philosophies
    and practices of Southwest Charter School which will include ample field work.

    I understand that a yearly non-refundable registration fee and monthly tuition will be charged for
    the Full-day Kindergarten program.

  3. I have read and agree to the terms listed above:*
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    (You must agree to the terms for your application to be considered.)

  5. Page 10 of 10