Yes! I want to participate in the Phoenix Academy Public Charter High School, Springfield (Phoenix Springfield) enrollment lottery for the 2018-2019 or 2019-2020 school year (Please indicate which school year you are requesting). If selected in the lottery, I will enroll in Phoenix Springfield, a tuition-free public high school. I understand names are drawn at random to fill any open seats up to 225. Lotteries are public and are completed several times during the year. I understand that my personal information included in this document will be available to Phoenix during the lottery time. Names not chosen to fill the open seats at Phoenix Springfield will be placed in order on a waiting list. If the applicant is not admitted, this application will be destroyed a year after it was submitted. Additionally, the applicant has the right to written notice of approximate date of destruction and request a copy of the document.
Agreement signed by student or parent/guardian (If over 18, student signs, if under 18, parent/guardian signs):
Phoenix does not discriminate on the basis of race, color, creed, sex, national origin, ethnicity, religion, gender identity, sexual orientation, mental or physical disability, age, ancestry, homelessness, special needs, English language proficiency or foreign language proficiency, athletic ability or prior academic achievement. The information requested on this form is not intended and will not be used to discriminate.