Yes! I want to participate in the Phoenix Academy Public Charter High School, Springfield (Phoenix Springfield) enrollment lottery for the 2016-2017 school year. I will be 14 or older by September 1, 2016. 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.
Mandatory For Students Under 18 - Agreement signed by student and parent/guardian:
My parents/ guardians and I want to participate in the Phoenix Springfield lottery for 2016-17. I agree that after the lottery, past and future academic, test scores, and medical records of students who apply to and/or attend Phoenix Springfield may be confidentially obtained from my and my child’s past schools. This information will in no way influence the lottery for student admission, but will be used only to measure the resources my student will need upon enrollment at Phoenix Springfield. Phoenix Springfield does not discriminate on the basis of race, color, national origin, gender, sexual orientation or disability.
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.