Bright Star Schools

1. I am applying for: * Stella Middle Charter Academy - grades 5,6
2. Rise Kohyang Middle School (Opening August 2012) - grade 6
3. Stella Middle Charter Academy - grades 7,8 (on 98th Street Campus)
4. Bright Star Secondary Charter Academy - grades 9,10,11,12


5. I want to enroll in the: * Next School Year - 2012-13 (beginning in August 2012)
6. Current School Year - 2011-12 (as seats become available)


7. Student's First Name *
8. Middle Name
9. Last Name *
10. Gender * Male Female
11. Date of Birth *
12. Grade Applying For * Current School Attending *
13. Language Spoken at Home
14. Full Name of Sibling/Family Member Who Attends or is Applying for a Bright Star School (please specify)

1. House # * Street * APT #
2. City * Zip Code *
3. Home Phone *

1. Mother's First Name Mother's Last Name
2. Home Phone Number Work Phone Number
3. Cell Phone Email Address
4. Click here if parent is primary enrollment contact
5. Preferred method of contact home phone cell work phone email
6. Preferred time of contact morning afternoon evening

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7. Father's First Name Father's Last Name
8. Home Phone Number Work Phone Number
9. Cell Phone Email Address
10. Click here if parent is primary enrollment contact
11. Preferred method of contact home phone cell work phone email
12. Preferred time of contact morning afternoon evening

Mark all that apply

1. Sibling attends a Bright Star school
   Friend attends a Bright Star school
   Friend who does not attend a Bright Star school
   Bright Star employee
   Presentation at your school
   Your School Counselor
   Mailer to your home Bright Star's website
   Online (other than our website)
   Advertisement (street banner, poster, newspaper, magazine, etc.)
   Other: (please specify)
   

I am meaningfully interested in enrolling my student in a Bright Star School.

1. Signature of Parent or Guardian *: Date *:
   Please type your first and last name