8/14/2019 KIPP Academy Elementary-2010-11 Student Lottery
Application
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Over
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2009-10 Current Address: 928 Simpson Street, 3 rd floor, Bronx,
NY 10459 2010-11 Location- Mott Haven Complex @ Concourse Village
West & 156 th in the Bronx
2010 11 Student Application
For Office Use
In/Out Dist_________Free/Red/Pd________Sibling ____________Date
Received _____Entered ___________
Lottery Entry Deadline: Applications must be postmarked by April
8, 2010 @ 5pm Lottery Date: April 13, 2010 @ 5:30pm at KIPP Academy
Elementary School
Notification Letters: Mailed to all applicants on April 16,
2010
KIPP Academy Elementary School is a free charter school
dedicated to providing students in grades Kindergarten and 1st with
thknowledge, character, and skills necessary to succeed in the
nations top colleges and beyond. While the school is currently
located 928 Simpson Street, KIPP Academy Elementary will be moving
to its permanent location at the Mott Haven Complex at
ConcoursVillage West & 156 th St. in the Bronx for the 2010 11
school year. For the Kindergarten lottery, we have opened up
lottery entry fchildren who will be five years or older as of
December 31 st , 2010. Please note that all students are welcome to
enter the lotterregardless of test scores, behavioral history, or
academic performance.
Attendance at the lottery is not required and will not affect
your childs chances of entering the school. Notification letters
indicating your childs place in the lottery will be mailed on April
16, 2010. Students who are selected will be contacted by phone to
enroll. Admission preference will be given in the following
order:
1) Brothers/Sisters of current KIPP Academy Elementary students
2) Applicants Eligible for Free or Reduced Lunch and Residing in
NYC School Districts 7 3) Applicants Eligible for Free or Reduced
Lunch and Not Residing in NYC School District 7 4) Applicants Not
Eligible for Free or Reduced Lunch and Residing in NYC School
District 7 5) Applicants Not Eligible for Free or Reduced Lunch and
Not Residing in NYC School District 7
On the back of this form, applicants are strongly encouraged to
submit documentation supporting their free and reduced lunch
eligibility. Completing this portion of the form is strictly
voluntary, and all information provided will be used for internal
purposes only.Additionally, to obtain more information about your
community school district, please visit:
http://gis.nyc.gov/dcp/at/f1.jsp .
If you are interested in having your child enter into KIPP
Academy Elementary for the 2010 2011 school year, you must fill out
the information below and submit it to KIPP Academy Elementary in
person or by mail by April 8, 2010.
Student Name What grade is your child in currently ? What school
does your child attend?
Student Date
of
Birth
(M/D/Y)
Parent/Guardian Name Address (include Apt. #) City, ZIP Phone
Number (Home) (Cell) Email Name and Grade of Current KIPP Academy
Elementary brother/sister (if applicable) (Name) (Grade) Name and
Current Grade of Brother/Sister in Another 2010 2011 KIPP Lottery
(if applicable) (Name) (School) (Grade) How Did You Hear About
Us?
By signing and dating the application below, I am hereby
certifying that all information provided is accurate and current. I
understand that all information will be verified and enrollment is
subject to confirmation of accuracy of the information provided.
______________________________ ___________________________________
Signature Date
You can return this form by mail or in person to: Attn: Laurie
Price, KIPP Academy Elementary, 928 Simpson Street, 3rd Floor,
Bronx, NY 10459
Please call Ms. Price with any questions at (718) 943 3737 All
received applications will be confirmed through the mail. If you do
not receive written confirmation before the lottery, please
contactMs. Price.
http://gis.nyc.gov/dcp/at/f1.jsphttp://gis.nyc.gov/dcp/at/f1.jsp
