2020-21 English Lottery Application

2020-21 CCSC Aplikasyon pou Enskri nan Lotri (Kreyòl)

2020-21 CCSC Solicitud para Loteria de Matricula (Español)
Community Charter School of Cambridge

Enrollment Lottery Application for 2020-21 Admission
CCSC is accepting applications for students who will be entering grades 6, 7, 8, 9, or 10 in the fall of 2020. All applicants must be Massachusetts residents at the time of application.
Apply in 2 easy steps:
1. Complete this application form
2. Include an image or PDF of proof of Massachusetts residency dated within the past 60 days:
  1. a bill: gas, electricity,cable or water OR
  2. a rental/lease agreement or mortgage statement.
Proof of residency must show the parent/guardian name and address where the applicant resides.
Please note:
- Please submit one application per child per year.
- Go to www.ccscambridge.org/apply for application deadlines and information about CCSC.
- Call the school at 617‐354‐0047 or email enrollment@ccscambridge.org with questions.
- Any and all information requested by CCSC in this application, such as language spoken at home or race/ethnicity, is not intended and will not be used to discriminate.
Student Information
First Name *
First Name
Middle Name *
Type NMN if no middle name
Last Name *
Date of Birth *

Month Day Year
Gender *

Male Female Non-Binary
Current School *

School Name

Street Address Line 2

City State
Current grade *
Applying for grade *
Sibling Information
Siblings share a common biological or legal parent. Children who live in the same household but do not share a common biological or legal parent are not considered siblings for the purpose of the lottery. The sibling preference for admission only applies to applicants whose siblings currently attend CCSC.
Sibling(s) currently attending CCSC (Name and Grade)
Sibiling(s) also applying to CCSC (Name & Grade)
Student Residence & Parent Guardian Information
Address *

Street Address

Apartment/Unit

City State

Zip Code
Home phone *
Parent/Guardian #1
First Name *
Last Name *
Relationship to applicant *
E-mail address
Cell Phone
Work Phone
Parent/Guardian #2
First Name
Last Name
Relationship to applicant
E-mail
Cell Phone
Work Phone
Please include a picture or pdf of one proof of residency below. Acceptable proofs of residency are listed at the beginning of this form.
Proof of Residency *
I attest that this information is true and accurate and that I will notify CCSC of any changes to the information provided on this form.
Parent/Guardian Signature *
(Proof of residency must be submitted with this application.)

The Community Charter School of Cambridge does not discriminate based on race, color, national origin, creed, sex, gender identity, ethnicity, sexual orientation, mental or physical disability, age, ancestry, athletic performance, special need, proficiency in the English language or a foreign language, or prior academic achievement.
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Community Charter School of Cambridge