s Prestige Academy
1121 Thatcher Street
Wilmington, DE 19802		 302-762-3240 tel
302-762-4782 fax
info@prestigeacademycs.org
Enroll Your Son Now!

 

Prestige Academy is currently accepting applications for seats in our 5th and 6th grade class for the 2010-11 school year.

Please note: the following information is not used for selection purposes. Prestige Academy does not discriminate on the basis of race, creed, national origin, ethnicity, religion, sexual orientation, mental or physical disability, special needs, English language proficiency, athletic ability, or academic achievement. Seats are limited. Apply Now.

APPLICATION FORM 2010-2011 SCHOOL YEAR

Name (First / Middle / Last):
 Date of Birth (DD/MM/YY):
 Grade Level for 2010-2011:
Current School:
 Current District:
Child's Home Address (Street, Apartment, City, State, Zip):
Father/Guardian Name (First / Last):
 Lives with child:
Home Number:
 Work Number:
Cell:
 Email:
Mother/Guardian Name (First / Last):
 Lives with child:
Home Number:
 Work Number:
Cell:
 Email:
Emergency Contact (someone not living with you)
Name (First / Last):
 Telephone Number:
Does the student currently receive Special Education services under an Individualized Education Plan (IEP) or 504 Plan?
(Failure to provide accurate information about any special services or valid, existing IEP for the student may result in loss of his ability to be served by this public charter school).
What components of Prestige Academy encouraged you to apply to our school?
All boys school
Extended school day and school year
Parent Involvement
 Academic focus of school
Location
Other
I was referred by a Prestige Academy student/family/staff / (Please name):