2026_27 - Phoenix Middle School Lottery Application

This is an application to be included in the Worthington Schools district lottery for admission to Phoenix Middle School. Please complete the fields below. Once you are finished, be sure to go back and review each section before clicking the “Submit" button. Once you click “Submit” you can no longer make changes to your application.

Once you submit your application, a confirmation receipt will be sent to the email address entered in the "Parent/Guardian 1" section below.

All questions about the lottery process should be referred to Susan Withers (swithers@wscloud.org) at the Worthington Education Center; not Phoenix Middle School.

If you have any other questions about Phoenix Middle School, please email Principal Sean Flynn (sflynn@wscloud.org)

Student Information

FIRST NAME :*

LAST NAME:*

FemaleMaleOther

CURRENT AGE:*

BIRTH DATE:*

MonthDayYear

STREET ADDRESS:*

CITY:*

ZIP CODE:*

Student EMAIL:

Please use your Worthington school email if assigned.

Student HOME PHONE:

leave empty if no home phone

Student CELL PHONE:

leave empty if no cell phone

Current Enrollment Information

CURRENT DISTRICT:*

IS THE ABOVE STUDENT CURRENTLY OPEN ENROLLED?*

Does the student attend a school outside of their attendance area (link below)? [Note: The answer is "No" for most students]

CURRENT SCHOOL:*

Worthington Middle School Attendance Area.

WILL THE ABOVE STUDENT BE A RESIDENT OF THE WORTHINGTON SCHOOL DISTRICT FOR THE 2025/26 SCHOOL YEAR?*

DOES THE ABOVE STUDENT HAVE A SIBLING THAT IS A CURRENT SEVENTH GRADER AT PHOENIX MS?*

NAME (FIRST AND LAST) OF SIBLING CURRENTLY ATTENDING PHOENIX MS (7th Grade):

Parent/Guardian Information

PARENT / GUARDIAN 1

1 FIRST NAME:*

1 LAST NAME:*

same as the student abovedifferent from the student above

1 STREET ADDRESS:

1 CITY:

1 STATE:

1 ZIP:

1 EMAIL:*

1 HOME PHONE:

1 MOBILE PHONE

1 WORK PHONE

PARENT / GUARDIAN 2

2 FIRST NAME:

2 LAST NAME:

same as the student abovedifferent from the student above

2 STREET ADDRESS:

2 CITY:

2 STATE:

2 ZIP:

2 EMAIL:

2 HOME PHONE

2 MOBILE PHONE

2 WORK PHONE

Student Questions

1) Tell us three things you would like us to know about you.*

2) What is your main reason for wanting to come to Phoenix Middle School? Please explain.*

3) What personal strengths do you find especially helpful in your learning?*

4) List any activities in which you are currently involved or have a desire to pursue (instruments, clubs, sports, etc.).*

I want to challenge myself academically.My friends are applying.My parents think its a good fit for me.I was convinced by the students that presented at my school.I'm excited for a new opportunity.I was convinced by the Phoenix staff presentation.Other

By checking this box, I confirm that the above is my own work.

Parent/Guardian Questions

The Phoenix program emphasizes learning for mastery, connecting students’ understanding to the world in which they live, and supporting them in making positive contributions to their community. We believe we best serve students who are motivated to learn, willing to produce work, discuss and design some of their own learning experiences, and capable of accepting the responsibilities of being an active learner. What evidence can you offer that your child fits this description?

Please explain why you think Phoenix Middle School will be beneficial for your child. Please be as specific as possible in your explanation. [Please enter your response in the field below].*

By checking this box, I confirm that all information provided in this application is accurate.

PLEASE READ: Please be sure to go back and review each section before clicking the “Submit" button below. Once you click “Submit” you will no longer be able to make changes to your application. Once you submit your application, a conformation receipt will be sent to the email address entered in the "Parent/Guardian 1" section above (check your spam folder if you don"t receive a receipt email).

If you have any questions, please contact Sean Flynn @ sflynn@wscloud.org.