Please complete the form below to submit your application. Haga clic aquí para completar este formulario en español

Need help with your application? Call (212) 866-6137 or email [email protected] for additional support.

School Year Applying To: *

Student Information

Student's First Name *

Student Middle Name

Student's Last Name *

Date Of Birth *

MM/DD/YYYY

Gender *

Address

Street Address *

City *

State *

Country *

Country

Postal Code *

Apartment Number

Do you reside in District #3? *

District #3 is West Side of Manhattan from 59th Street to 122nd Street

Student Current School *

Student's Current Grade *

Grade Applying To: *

Does the student have an Individual Education Plan (IEP) and receive Special Education Services? *

Does the student speak english fluently? *

Parent/Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Preferred Method of Contact *

Preferred Language *

Relationship to Student *

Email Address *

Cell Phone Number *

Home Phone Number

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Parent/Guardian #2 Relationship to Student

Parent/Guardian #2 Cell Phone Number

Parent/Guardian #2 Email Address

Parent/Guardian #2 Home Phone Number

Sibling Information

Does the student have a sibling currently attending Opportunity Charter School?

If YES: Please provide the following:

Sibling First Name

Sibling Last Name

Parent/Guardian Signature

How did you hear about us? *

By checking this box, I certify that all information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that submission of this application does not guarantee admission or enrollment. I authorize Opportunity Charter School to verify the information provided and to use it solely for the purpose of processing this application.

Parent/Guardian Signature *

Please type full name

Opportunity Charter School

240 W. 113th Street, 4th Floor New York, NY 10026

Call: (212) 866-6137 l Email: [email protected]