Online Application

Application Instructions: Submit a separate application for each child you wish to enroll. The items marked with an asterisk (*) are the only items required in order to apply to this charter school. Any items not marked by an (*) are optional. Please submit the following documents with this application:

• Proof of residency (utility bill, lease agreement)
• Original birth certificate
• Copy of Parent/Guardian Photo ID

Transportation Applications MUST be submitted to your home district by March 31, 2017 in order to ensure transportation for the 2017-2018 school year.

Note: Please use a modern browser such Chrome, Firefox or Safari. Older versions of Internet Explorer are not compatible and pose security issues.

* Required


Student Information

First Name

Last Name

Date of Birth

What grade will your child be entering this fall?


Home Address

Street

Apartment, Unit, Building Number, etc.

City

State

Zip Code


Please enter a mailing address if different from the home address.


Mailing Address

Street

Apartment, Unit, Building Number, etc.

City

State

Zip Code


What is the school district where the student lives?

What school did your child previously attend?

What is the city and state of your child's previous school?

If your child attended a school previously, what type was it?

 Public Private Parochial Home School

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Relationship

Email

Primary Number

Work Number

Mobile Number

Second Parent/Guardian Information (Optional)

Parent/Guardian First Name

Parent/Guardian Last Name

Relationship

Email

Primary Number

Work Number

Mobile Number

Sibling Information


If your child has any siblings attending or applying to Riverhead Charter School please enter their information below. If not please continue to the next section.

NOTE: You must fill out a separate application for each child applying for admission.


Name of brother or sister currently
attending or applying

Grade for Fall

Name of brother or sister currently
attending or applying

Grade for Fall

Name of brother or sister currently
attending or applying

Grade for Fall

Additional Information


The information requested below will assist the school in identifying data for demographic purposes and will NOT be used for admission decisions.


Gender

Ethnic Background


Non-Discrimination Statement: A charter school shall not discriminate against or limit the admission of any student on any unlawful basis, including on the basis of ethnicity, national origin, gender, disability, intellectual ability, measures of achievement or aptitude, athletic ability, race, creed, gender, national origin, religion or ancestry. A school may not require any action by a student or family (such as an admissions test, interview, essay, attendance at an information session, etc.) in order for an applicant to either receive or submit an application for admission to that school.


How did you hear about us?

Required Documentation

Proof of Residency

Birth Certificate

Parent/Guardian ID

Verification

Please enter the code below to verify your application.

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NOW ENROLLING

 For the 2017-2018 School Year

ADMISSIONS LOTTERY

Thursday April 18, 2017 @ 6:30pm

OPEN HOUSE!

January 21, 2017 (Saturday)
10:00am – 12:00pm
February 11, 2017 (Saturday)
10:00am – 12:00pm
March 4, 201 7 (Saturday)
10:00am-12:00pm
March 11, 2017 (Saturday)
10:00am-12:00pm
March 25, 2017 (Saturday)
10:00am-12:00pm

Tour Dates

January 11, 2017 (Wednesday)
@ 5:30pm
January 19, 2017 (Thursday)
@ 10:00am
February 2, 2017 (Thursday)
@ 10:00am
February 8, 2017 (Wednesday)
@ 5:30pm
February 15, 2017 (Wednesday)
@ 10:00am
March 2, 2017 (Thursday)
@ 10:00am
March 8, 2017 (Wednesday)
@ 5:30pm
March 16, 2017 (Thursday)
@ 10:00am

Call TODAY to register for a Tour (631) 369-5800 ext. 2249

REMINDER For Current RCS Students:

To ensure a seat for next year, current RCS students must submit: Intent to Return Form by January 27, 2017

Transportation Application & District Confirmation Form by March 31, 2017