2019-2020 RHODE ISLAND CHARTER PUBLIC SCHOOLS ENROLLMENT APPLICATION
Student Information
Home Address
Grade Selection
Current Grade
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Grade Applying to (FOR K - STUDENT MUST BE 5 YEARS OF AGE ON OR BEFORE SEPT. 1 2019)
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Parent/Guardian Information
Parent /Guardian 1
Parent /Guardian 2
Additional Information
Does the applicant have a sibling currently enrolled in this charter school?
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If yes, name of sibling 
Does the applicant have a sibling applying to this school on a seperate application?:
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If yes, name of sibling 
Is the application the child of a school founder, teacher, or staff member?
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If yes, name school founder, teacher, or staff member:
Optional:
Is the applicant homeless? 
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*Applicants who are homeless have an increased chance of acceptance into this school. The definition of applicants considered homeless include applicants who are living in transitional shelters or motels, or sharing the housing of other persons due to economic hardship, etc. (Proof of temporary residence or agency placement notification must be provided prior to lottery.)
Legal Information
I affirm that the information contained in this application is, to my knowledge, completely true.
Parent/Guardian Signature
Today's Date (MM/DD/YYYY)
I agree that my child's school records may be used for studies on the effectiveness of public charter schools. If the studies are publicized, only group data, not student level data, will be reported. Sensitive student information will remain confidential under state and federal law.
Agreed? (Note: selecting "No" will NOT affect your child's chances for admission):
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Please submit this application no later than Thursday, February 22, 2019 by 4:30pm.


If you have questions, please contact: 
Brandford Davis (bdavis@southsideelementary.org) 
135 Prairie Ave, Providence RI 02905  401-270-9007 ext. 102

Note: Under Rhode Island law, a charter school is deemed to be a public school acting under state law and is subject to applicable provisions of federal and state law relating to non-discrimination and affirmitive action, including, but not limited to, the: (1) Age Discrimination Act of 1975, 42 U.S.C. § 6101, et. seq.; (2) Title VI of the Civil Rights Act of 1964, 42 U.S.C. § 2000d, et. seq.; (3) Title IX of the educational amendments of 1972, 20 U/S/C/ § 1681, et seq.; (4) Section 794 of Title 29, and part B of the Individuals with Disabilities Education Act, 20 U.S.C. § 1411, et seq.; (5) 42 U.S.C, Sections 1981, 1983, and 1601 et seq.; (6) Section 504 of the Rehabilitation Act of 1973, as amended, 20 USC 794; and (8) Sections 16-38-1, 16-38-1.1, 28-5.1-13, 28-5.1-14, and Chapter 42-87 of the Rhode Island General Laws, as amended.

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