Application Form

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Building Character… Achieving Excellence

Completion of this form indicates your desire to enroll your child in Henry Johnson Charter School beginning in September 2024. Scholars applying before 4 p.m. on April 1, 2024, will be accepted on a first-come, first-served basis UNLESS a lottery is required because of over-enrollment, which will be held on April 1, 2024, at 4:00 p.m. at 30 Watervliet Ave, Albany, NY 12206.

Henry Johnson Charter School is in the Albany City School District and therefore preference is given to scholars who reside within this district. However, we accept applications and provide transportation to scholars from all areas of Capital region. The school will continue to accept applications throughout the spring and summer to fill any available seats. If you have questions about Henry Johnson Charter School, please call 518-432-4300.

Please Note: Scholar must be 5 years of age on or before December 31, 2024, to be eligible to enroll in kindergarten.

*The items marked with an asterisk (*) are the only items that may be required in order to apply to this charter school. Any items not marked by an (*) are optional.

"*" indicates required fields

Scholar Name*

Applying for Grade*

Date of Birth*

Address*

Street Address City Zip Code

Gender

Current Grade*

Current School or Day Care

Name(s) of Parent(s)/Guardian(s) with Whom Scholar Resides*

Relationship to Scholar

Email*

Home Telephone*

Alternate Telephone

School District*

If you selected "Other", please name district

Non-Discrimination Statement: Henry Johnson Charter School does not discriminate against or limit the admission of any scholar on any unlawful basis, including on the basis of ethnicity, national origin, gender, disability, intellectual ability, measures of achievement or aptitude, athletic ability, race, creed, gender, national origin, religion or ancestry. The school does not require any action by a scholar or family (such as an admissions test, interview, essay, attendance at an information session, etc.) in order for an applicant to either receive or submit an application for admission to Henry Johnson Charter School.

Siblings of Scholar

Are any any siblings also applying to Henry Johnson Charter School?*

Yes, 1

Yes, 2

Yes, 3

List the name, gender, birth date, and grade of any siblings also applying to Henry Johnson Charter School for the 2023-2024 school year (a separate application form must be filled out for each)

Name #1

Date of Birth

Gender

Applying for Grade

Name #2

Date of Birth

Gender

Applying for Grade

Name #3

Date of Birth

Gender

Applying for Grade

Does the scholar have a sibling currently attending Henry Johnson Charter School?*

Yes

Name

Grade

Please tell us how you heard about Henry Johnson Charter School

Parent/Guardian Name*

Date*

Please Note: Henry Johnson Charter School reserves the right to place scholars in another grade level than the one applied for based on evaluation or transcript.

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