Para ver la aplicacion en Español, por favor haga un clic a "Select Language" en la parte de arriba de esta pagina y cambia el lenguaje a "Spanish." Student Information Last Name * Middle Name First Name * Suffix Date of Birth Place of Birth Date of US Entry Student ID Number Grade you are applying for Gender SelectMaleFemale Race/ethnic designation American Indian African American Asian White Native Hawaiian or other Pacific Islander Other Hispanic/Latino? Hispanic/Latino Not Hispanic/Latino Special Needs Is the student currently receiving special education services? Yes No Does the student have a hearing impairment? Yes No Does the student have mobility impairment? Yes No Does the student use a wheelchair? Yes No Does the student receive speech services? Yes No Previous School Information Current or Last School Attended Bilingual Program Yes No City State Phone Number Previous School Bilingual Program Yes No City State Phone Number Other How did you hear about us? - None -Live in the area / drive bySocial MediaAdvertisementReferralOther Who referred you? Please list how you heard about us Why did you choose La Causa Charter School? Family Information Student Lives With * SelectBoth ParentsMother OnlyFather OnlyGrandparentsGuardian Mother/Guardian Mother/Guardian Last Name Mother/Guardian First Name Street Address City Zip Code Phone Number Work Number E-mail Address Father/Guardian Father/Guardian Last Name Father/Guardian First Name Street Address City Zip Code Phone Number Work Number E-mail Address Emergency Contact Name Relationship Phone Number Siblings at La Causa Charter School or Enrolling at La Causa Charter Name Grade Current Student Yes No New to LCCS Yes No Name Grade Current Student Yes No New to LCCS Yes No Name Grade Current Student Yes No New to LCCS Yes No Name Grade Current Student Yes No New to LCCS Yes No Electronic Signature The completion of this application does not guarantee that your child will be enrolled at La Causa Charter School. In order for your child to be considered for enrollment, you must submit all documents with this application. If your child is not accepted into our school, all submitted documents will be destroyed on October 30, 2021. Parent/Guardian Name * Date * Parent/Guardian Signature * Please note that in order to enter the K4 program your child must turn 4 before September 1st 2021. Also, to enter the K5 program the child must turn 5 before September 1st 2021.Please bring the following documents with your application:Birth certificate for K4-K5 and new students to MPS systemProof of address-All gradesImmunization records-All gradesMost recent report card for students in grades K5-8thAll documents must be submitted with the application.For more information, please contact Ms. Rojo at our Kinder Academy for grades K4-K5 at 414-316-4177 or Mrs. Montañez at our Main Campus for grades 1st -8th at 414-316-3829.Thank You CAPTCHAWe need to verify you're a human. Please fill out of the CAPTCHA.
