Edward W. Bok Academy North Waitlist Application For 2023-2024

EDWARD W. BOK ACADEMY NORTH Waitlist School Application

Lake Wales Charter School Application For the 2023-2024 School Year
Student’s Legal Name*

First NameMiddle NameLast Name
Student’s ID Number*
Student’s Social Security Number
Birth Date*

MonthDayYear
Gender
Current Grade*
Applying for Grade*
Ethnicity/Race
Sibling Currently Enrolled or Enrolling
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Phone Number
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com
Parent/Guardian Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (if different from Home Address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Currently Zoned School
Previous School
If Previous School was out of county/state, please provide us with County/State and City
• One application must be completed for each student you wish to enroll.

• All Lake Wales Charter Schools, give preference to students in the attendance school zone

• Application must be completed by a Parent/Guardian. By entering the information below you verify the information above is valid
Name*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

EDWARD W. BOK ACADEMY NORTH Waitlist School Application