Application



Global Leadership Academy Charter School 
Application


Indicates a Required Field
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Application

Note: This Application is ONLY FOR NEW STUDENTS that have never attended GLA previously. The Re-Enrollment Application process ended on December 31, 2017.

If you are interested in an Application in another language other than English you can visit our school and pick-up an application or contact us.

Si usted está interesado en una aplicación en otro idioma distinto del inglés, puede visitar nuestra escuela y pick-up una aplicación o póngase en contacto con nosotros.

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How did you hear about Global Leadership Academy?










Which location are you applying for?


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Student Information      

First Name


Middle Name


Last Name


Gender



Date of Birth

/ /

Apply Grade



Does the student have a sibling attending GLA?


Does the student have any multiple births (twins, triplets, etc.) that would like to apply to GLA and the same grade?

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Residence Address


Street Number


Street Name


City


State


Zip


Former School


Current Grade



Withdrawal Date

/ /
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​Parent/Guardian Information


Is Anyone in the Child's Household an Employee of GLA?


Special Custodial Court Instructions:


Child Lives With

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Parent or Legal Guardian


First Name


Last Name


Relationship to Student


Lives With Student at the Residence Address?


Home Phone

- -

Cell Phone

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Work Phone

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Email


Is this parent authorized to pick up the child?

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Electronic Signature


The following fields are treated by Global Leadership Academy Charter School like a written signature on a paper form


Signature


Date

/ /

Contact Email


Global Leadership Academy strongly encourages you to provide an email address as it will allow you to receive a submission confirmation email and emails about the status of your application (including additional actions that may be necessary to have your student entered into the lottery).

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