DEAR PARENTS AND APPLICANTS:

Thank you for your interest in Bergen Arts and Science Charter School Elementary. Please fill out this application form completely. Falsifications, misrepresentations or omissions may disqualify your application.
Student Information
School Information
(You can type 'First Year' if you are applying for Kindergarten and currently not enrolled in any Pre-K program)
(You can type 'First Year' if you are applying for Kindergarten and currently not enrolled in any Pre-K program)
Primary Parent Information
Secondary Parent Information
WEIGHTED LOTTERY
Students who are identified as economically disadvantaged will receive two chances in the lottery while students who are not identified as economically disadvantaged will only receive one chance in the lottery. Families that can document at least one of the following will be eligible for an additional chance in the lottery:
  • The child lives in Garfield, Lodi, or Hackensack public housing.
  • The child lives in Garfield, Lodi, or Hackensack Section 8 housing.
  • The child or guardian qualifies for Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for Needy Families (TANF) benefits.
  • The child already qualifies for a free or reduced price lunch in their current public school.

We hereby certify that, to the best of my/our knowledge and belief, the answers to the foregoing questions and statements made by me/us in this application are complete and accurate. I/We understand that any false information or misrepresentations of facts may result in rejection of this application or future dismissal of the applicant. Yo / Nosotros certificamos que la información declarada en esta aplicación es verdadera, correcta y completa, y las preguntas y declaraciones anteriores hechas por mi / nosotros en esta aplicación están completas y exactas. Yo / Nosotros entendemos que cualquier información falsa o mala representación de los hechos pueden resultar en el rechazo de esta aplicación o el futuro despido del solicitante.