22-23 Admission Application (Next Fall 2022) (NEXT YEAR, FALL 2022) Admissions Application for 2022-2023 This application is for NEW students only. Currently enrolled LGA students do not need to complete this form. This is an application and not an approved enrollment.Student InformationStudent First Name*Student Last Name*Student is enrolling in:*(Please check which grade level your student will be in for the 22-23 school year)6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeBirth Date:*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Does this student currently have an IEP (Individualized Education Plan) in place?*This information is used to determine our ability to provide identified services. We ask that a copy of your student's most current IEP be provided for our team to review if the student is from outside the Natomas Unified School District.YesNoDoes this student currently have a Section 504 Plan in place?*This information is used to determine our ability to provide identified services. We ask that a copy of your student's most current Section 504 Plan be provided for our team to review if the student is from outside the Natomas Unified School District.YesNo Demographic Information Student's Physical Residence:* Street Address Address Line 2 City ZIP Code Student's Home Telephone #:*Student's Gender:*MaleFemaleParent/Guardian Name:* Relationship to Student:*Email Address:* Daytime Phone:*Parent/Guardian Name (#2): Relationship to Student:Email Address: Daytime Phone:Current School: (Required)*Current School District: (Please provide if outside Natomas Unified School District)Does this student have a sibling (brother/sister) currently enrolled at LGA?*(check one)YesNoIf yes, what is the name of sibling (brother/sister)that currently attends LGA? Application Submission Please complete the following information and sign below: I request and authorize you to forward the confidential records of my student.Parent/Guardian Name:*This is your electronic signature First Last Admission requirements, if applicable. California Education Code Section 47605 (b)(5)(H) The Charter School uses an open enrollment admission policy for all students, and does not discriminate on the basis of residency, gender, sexual orientation, disability, religion, national origin, ethnic and/or racial background, or achievement level. The Charter School does not charge tuition and is non-sectarian in its programs, admissions, and policies. Continued enrollment is dependent upon progress toward graduation and making satisfactory academic progress. Preference may be given in the following order; 1. Pupils currently attending the Charter School; 2. District pupils residing within the attendance area of the Charter School, as defined by the District; 3. Siblings of pupils currently attending the Charter School; 4. District pupils who meet the federal school guidelines for economic support known as “Title One” or “Free or Reduced Lunch” subsidy; and 5. All other pupils residing within the District. Students and parents/guardians are strongly urged to carefully consider the nature of the programs offered and the rigor of the curriculum prior to applying. If the number of pupils who wish to attend the Charter School exceeds the school’s capacity, attendance, except for existing pupils, shall be determined by a public random drawing in accordance with California Education Code section 47605(d)(2). The Charter School’s students are expected to act in a manner that is caring, confident, and demonstrates they are college bound. Upon enrollment, all students will receive a Student Handbook that covers academic, attendance, and behavior expectations. A student who fails to meet the academic, attendance or behavior expectations will be placed on a probationary contract after a meeting with student, parent/guardian, teachers, and the school principal. If the student fails to meet the criteria in the probationary contract, he or she may be dismissed from the Charter School and required to return to his or her school of record in accordance with the process outlined in the Student handbook. A student may be suspended and/or expelled if found in violation of California Education Code 48900 et seq. Students who reside outside the District’s attendance boundaries will be required to return to their district of record with written notice of the expellable offense to the District Superintendent of record. The Charter School has adopted all District policy, and federal and state laws as they pertain to the administration of discipline. NameThis field is for validation purposes and should be left unchanged.