JCCCS SY 2020-2021 School Application

JERSEY CITY COMMUNITY CHARTER SCHOOL
128 Danforth Avenue, Jersey City, NJ 07305
Phone: (201) 433 – 2288 - Fax: (201) 433 – 5803
School Website: www.jcccsonline.org
SY 2020-2021 School Application
Application Deadline: March 2, 2020
Applications received after this deadline will be added to our waiting list.
Grade Applying For:
Grade Applying For:
Kindergarten1st2nd3rd4th5th6th7th8th
Student Information
Name
Student's First NameStudent's Middle NameStudent's Last Name
Current Grade:
Age:
Birthdate
MonthDayYear
Date
Male
Gender:Female
Address
Address
Street Address Line 2
City
Zip code
State
Address
Mailing Address: (if different from above)
Street Address Line 2
CityState / Province
Zip code
State
Home Phone Number:
Alternate Phone Number:
Family Information
MotherFatherStep-ParentLegal Guardian
Name
First NameLast Name
Home Phone Number:
Cell Number:
Work Number:
Email Address:
example@example.com
Family Information
MotherFatherStep-ParentLegal Guardian
Name
First NameLast Name
Home Phone Number:
Cell Number:
Work Number:
Email Address:
example@example.com
Does the student have any sibling(s) currently attending JCCCS?
Yes (list sibling(s) below)No
Sibling Policy: Preference may be given to siblings of enrolled students, depending on space available (N.J.S.A 36A-8c)
1. Name of Sibling
Grade
2. Name of Sibling
Grade
3. Name of Sibling
Grade
Charter schools are free, open-enrollment public schools that are required by law to serve all students. Charter schools shall be open to all students on a space available basis and shall not discriminate in its admission policies or practices on the basis of intellectual or athletic ability, measures of achievement or aptitude, status as a handicapped person, proficiency in the English language, or any other basis that would be illegal if used by a school district.
I certify that all of the information I have provided on this application form are truthful, accurate, unaltered, and complete. I understand that the Jersey City Community Charter School requires uniforms, has a strong discipline policy, and relies on parental participation. I understand that if there are more completed applications than spots available by the application deadline, a lottery will be held, placing those not selected on a waiting list. Any completed applications received after the application deadline will be added to the waiting list, if a lottery is required.
Printed Name:
Signature:
Clear
Date:
MonthDayYear
Date
Aligned with the 2018-2019 New Jersey Common Charter School Application
Should be Empty:

JERSEY CITY COMMUNITY CHARTER SCHOOL

SY 2020-2021 School Application

Application Deadline: March 2, 2020

Grade Applying For:

Student Information