Application For Admission 2024-2025

2024-2025 Application For Admission
Thank you for your interest in enrolling your child at Empowerment Academy Charter School.

Per statute, "Charter schools are free, open-enrollment public schools that are required by law to serve all students. Charter Schools shall be open to all students on a space-available basis and shall not discriminate in its admission policies or practices on the basis of intellectual or athletic ability, measures of achievement or aptitude, special education status, proficiency in the English language, or any other basis that would be illegal if used by a school district."

For the school year beginning in September 2024, we will be enrolling 120 students in Kindergarten and a handful of students in grade levels 1-10. Going forward, we plan to add one additional grade level per year and ultimately grow into a K-12 school so students starting with us can stay with us through high school. To apply for a child, please COMPLETELY fill out the following application for enrollment, electronically sign it on the final page, and hit the SUBMIT button. Your application will not be submitted until you take this final step. Then print out a copy for your records. Input a separate application for each child applying.

By filling out this application, you are applying for the school year 2024-25. Applications for the school year 2025-2026 will be posted here on October 1, 2024.
Student's Name*

First NameMiddle NameLast NameSuffix
Grade Level You Are Applying For (K-10 ONLY)*
*Kindergarten applications: Scholar must be 5 years old by 10/1/2019*
Student's Birth Date*

MonthDayYear
Date
Gender*

FemaleMaleChoose not to specifyOther
Student's Current Grade Level*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current School Name (if applicable)
Current School Address (if applicable)

Legal Guardians Name - 1*

First NameLast Name
Relationship*
Email*
example@example.com
Cell Number*
Please enter a valid phone number.
Work Number
Please enter a valid phone number.
Home Number
Please enter a valid phone number.

Legal Guardians Name - 2

First NameLast Name
Relationship
Email
example@example.com
Phone Number
Please enter a valid phone number.

Only complete if your student has a sibling applying. Sibling Policy: Preference is given to siblings of enrolled students (N.J.S.A. 18A:36A-8c). Please list any siblings (brothers/sisters) applying for or enrolled at Empowerment Academy Charter School. You must fill out a separate application for each student applying.

First NameLast Name
Grade in 2024
Please select one if applicable:

I have a student that currently attends EmpowermentThe student that I am applying for with this application has a sibling that DOES NOT attend Empowerment. I am applying for multiple students, that do not attend Empowerment. I will submit a separate application for each student applying.
Only complete if your student has a sibling applying. Sibling Policy: Preference is given to siblings of enrolled students (N.J.S.A. 18A:36A-8c). Please list any siblings (brothers/sisters) applying for or enrolled at Empowerment Academy Charter School. You must fill out applications for all students applying.

First NameLast Name
Grade in 2024
Please select one:

I have a student that currently attends EmpowermentThe student that I am applying for has a sibling that DOES NOT attend Empowerment, and I will submit a seperate application for each student applying.

Signature
I am applying to have my child attend Empowerment Academy Charter School in Jersey City, NJ. I certify that the statements and information I am providing in this application are true, accurate, and complete.

I understand that Empowerment Academy features a longer school day, a strong discipline code, uniforms, and parent involvement.

I understand that prospective students are chosen by a lottery if there are more applications than available seats. I also understand that if my child is not initially selected in the lottery, s/he will be placed on a waiting list for the year. If spots open up during that year, students will be admitted from the waiting list in the order in which they were selected during the lottery. I hereby request that you consider this application for the next and any subsequent lotteries that are used to fill possible Empowerment Academy openings for the 2023-24 school year.
Parent Signature*

Clear
Print Name*
Date*

MonthDayYear
Date
Should be Empty:

2024-2025 Application For Admission

Signature