a

 

a

 


"Invest in the human soul. Who knows, it
might be a diamond in the rough."

- Mary McLeod Bethune

 


Online Application for Enrollment

Parents of prospective students may apply for admission using this form. This application does not constitute enrollment to Mary McLeod Bethune Day Academy. All required forms must be received before your child is enrolled. Applications should be received no later than April 30, 2012 in order to be considered during the open enrollment period for the 2012-2013 school year.

Please answer ALL questions on the form below and press "Send" to submit the application.

Please call the Mary McLeod Bethune Day Academy Main Office at 202-459-4710 to ensure receipt of your application.

Student Information
Student's Full Name:

Student's Grade for 2012-2013 School Year: PK-3 PK-4 K    1    2 3    4 5 6
Student's Gender: Male    Female
Student's Date of Birth:
Student's Home Address:


_

Current School:
Parent /Guardian Information #1
1st Parents/Guardian name:

Relationship: Mother     Father     Other Legal Guardian
Home Phone Number:
Cell Phone Number:
Work Phone Number:
Email Address:
Parent /Guardian Information #2
2nd Parents/Guardian name:

Relationship: Mother     Father     Other Legal Guardian
Home Phone Number:
Cell Phone Number:
Work Phone Number:
Email Address:
Sibling Information (A separate Application Must Be submitted for all students)
Is a sibling also applying to Mary McLeod Bethune Day Academy?

Yes    No


By initialing this box, I am submitting my digital signature as Parent/Guardian for the child in this lottery application and verify that all information on this application is true and valid.
 

 

 

 

IMPORTANT, PLEASE NOTE: Admission is on a first-come, first-served basis. Once a grade level has been filled, applicants will be entered into a lottery to determine ranking on the waiting list. Filling out this application, alone, does not constitute enrollment into Mary McLeod Bethune Day Academy Public Charter School. All required forms must be received before your child is officially enrolled.

Applications should be received no later than April 30, 2012 to be considered during the open enrollment period for the 2012-2013 School Year. Admission is without regard to religion, race, color, income, handicap, marital status or national or ethnic origin.

Mary McLeod Bethune Day Academy PCS is a free public charter school of choice. If you are a District Resident, you may attend the school free of charge. If a student is homeless, he/she has the right to: attend the school free if he/she is residing in DC. Students who meet the definition of “homeless” have the right to enroll immediately without school, medical or similar records; get transportation to their school of origin; and be automatically eligible for Title One services like free lunch and free textbooks, as well as any other comparable services offered to permanently housed students.


Brookland Campus
Prekindergarten - Grade 8
1404 Jackson St., N.E.
Washington, DC 20017
Tel: 202-459-4710
Fax: 202-536-2670