2025-2026 Student Application
Scholar General Information
Applying Student's Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
What grade will your student be entering in the upcoming 2025-2026 school year?
*
Kindergarten (For eligibility, your scholar's birthday should be before September 1, 2020)
1st grade
2nd grade
3rd grade
4th grade
5th grade
Student's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Neighborhood School District (ex: DeKalb County)
*
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Parent/ Guardian General Information
Parent/Guardian Name 1:
*
First Name
Last Name
Phone Number
Relationship to Scholar
*
Please Select
Mom
Dad
Grandmother
Grandfather
Guardian
Aunt
Uncle
Please select 1 option
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name 2:
First Name
Last Name
Phone Number
Relationship to Scholar
Please Select
Mom
Dad
Grandmother
Grandfather
Guardian
Please select 1 option
Email
example@example.com
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Does the scholar have a sibling eligible to attend PEACE Academy (K-5 in Fall 2023)?
*
Yes
No
(If you selected yes to the above question, please complete this section)- Sibling 1 Name
Sibling 1 Grade
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
(If the scholar has an additional sibling that is eligible to attend PEACE Academy, please complete this section)- Sibling 2 Name
Sibling 2 Grade
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Do the scholar and the sibling(s) live together at the same address?
Yes
No
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Emergency Contact General Information
Emergency Contact 1 Name
*
First Name
Last Name
Primary Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Relationship to Scholar
*
Please Select
Mom
Dad
Grandmother
Grandfather
Guardian
Aunt
Uncle
Please select 1 option
Emergency Contact 2 Name
First Name
Last Name
Primary Phone Number
Please enter a valid phone number.
Relationship to Scholar
Please Select
Mom
Dad
Grandmother
Grandfather
Guardian
Aunt
Uncle
Please select 1 option
Email
example@example.com
Emergency Contact 3 Name
First Name
Last Name
Relationship to Scholar
Please Select
Mom
Dad
Grandmother
Grandfather
Guardian
Aunt
Uncle
Please select 1 option
Primary Phone Number
Please enter a valid phone number.
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Additional Information
Does either parent/guardian serve on the board for PEACE Academy Charter?
*
Yes
No
(If yes, please enter the Board Member's name)
Do you currently have a student(s) that attends PEACE Academy Charter?
*
Yes
No
(If yes, please enter their names here)
Where did you learn about the PEACE Student Enrollment Application?
*
PEACE Board Member
PEACE Staff Member
Word of Mouth
PEACE Event
PEACE Social Media
Mailer to Home
Came to the Building
Other
Please enter the specific name or platform from your selection above:
*
Signature
Submit
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