Online Application for the Student Lottery

[Clic en aquí para ver la aplicación en español.]

The lottery for grades K-5 for the 2012-2013 school year is now open. All applications that are submitted before 11:59 PM on March 30, 2012 will automatically be added to the PAVE lottery for the 2012-2013 school year. If you are interested in having your child's name entered into the lottery for the 2012-2013 school year please fill out the application below.

Please answer ALL questions on the form below and press "Send" to have your child entered into the 2012-2013 lottery.

Please call the PAVE Academy Main Office at 718-858-7813 to insure receipt of your application.

STUDENT INFORMATION
Child’s Name:
Home Address: Proof of address will be required before enrollment
Borough:	Bronx Brooklyn Manhattan Staten Island Queens Please select a borough
Child's Gender:	Male Female Please select a gender
Child's Date of Birth: To apply to Kindergarten, your child must be FIVE years old before December 31st, 2011

CURRENT SCHOOL INFORMATION PAVE Academy admits students in Kindergarten through 2nd Grade and few, if any, spots are typically available in Grades 3 and 4
Current School:
Child's Current Grade:	Pre-School Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Please select the current grade
Child's Grade Next Year:	Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Please select the grade for next year

SIBLING INFORMATION PAVE Academy gives enrollment preference to students with brothers or sisters who are currently enrolled at PAVE
Does the applicant have a brother/sister currently enrolled in PAVE Academy?	Yes No If yes, what is the current PAVE sibling's name? Please tell us if a sibling is currently enrolled
Does the applicant have a brother/sister also applying to PAVE Academy?	Yes No If yes, what is the applicant PAVE sibling's name? Please tell us if a sibling is also currently applying

PARENT INFORMATION
Parent Name:
Relationship to Child:	Mother Father Legal Guardian Please select the parent relationship
Home Phone:
Cell Phone:
Work Phone:
Email Address:

ADDITIONAL INFORMATION
How did you hear about us? Check all that apply	PAVE Website Mailing Open House Friend Current PAVE Family Other:
	By checking this box, I attest that I am the legal parent or guardian of the student named above and I affirm that the information I have submitted is true and accurate to the best of my knowledge. I understand that all information will be verified and providing incorrect information can result in application disqualification or loss of seat. Additionally, I understand that submitting an application does not guarantee admission to this charter school. Please acknowledge you have read and understand this