Choice & Charter Application for the 2020-2021 School Year

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Student Information

Student's First Name *

Student's Last Name *

Student's Date of Birth *

Street Address *

City *

State *

Zip Code *

Day Time Phone Number *

Other Phone Number

Parent/Guardian Name *

Email Address *

School Information

What Grade Level will your Child be in for the Requested School Year * Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade

Student's Current School La Crosse Montessori Preschool Coulee Montessori Emerson Elementary Hamilton Elementary Hintgen Elementary Northside Elementary North Woods International School of Technology & Arts I Spence Elementary Southern Bluffs Elementary State Road Elementary Summit Environmental School Coulee Montessori Adolescent Logan Middle School Lincoln Middle School Longfellow Middle School School of Technology & Arts II Central High School LaCrossroads Logan High School La Crosse Polytechnic School Other

Select the School Year you are Applying for * 2020-2021

Student's Current School if not in District

Student's attendance area school (if different, also known as a boundary school) Emerson Elementary Hamilton Elementary Hintgen Elementary Northside Elementary North Woods International Spence Elementary Southern Bluffs Elementary State Road Elementary Summit Environmental School Logan Middle School Lincoln Middle School Longfellow Middle School Central High School Logan High School Out of District Student's attendance area school (if different, also known as a boundary school)

1st School in which you are interested in *

Coulee Montessori Elementary Program Hamilton Year-Round School North Woods International School Northside Year-Round School SOTA I Summit Environmental School Logan Middle Global Village Logan Middle Spanish Partial Immersion (6th-8th Grade) Coulee Montessori Adolescent Program (6th-8th Grade) SOTA II La Crosse Polytechnic School Logan High School

Are there any siblings at this school?

Yes

No

2nd School in which you are interested in (Only for Choice and Charter Schools)

Coulee Montessori Elementary Program SOTA I Hamilton Year-Round School Summit Environmental School Northside Year-Round School North Woods International School Logan Middle Global Village Logan Middle Spanish Partial Immersion (6th-8th Grade) Coulee Montessori Adolescent Program (6th-8th Grade) SOTA II La Crosse Polytechnic School

Are there any siblings at this school?

Yes

No

3rd School in which you are interested in (Only for Choice and Charter Schools)

Coulee Montessori Elementary Program SOTA I Hamilton Year-Round School Summit Environmental School Northside Year-Round School North Woods International School Logan Middle Global Village Logan Middle Spanish Partial Immersion (6th-8th Grade) Coulee Montessori Adolescent Program (6th-8th Grade) SOTA II La Crosse Polytechnic School

Are there any siblings at this school?

Yes

No