Nova Classical Academy

Preferred List Application

2012–13 Nova Classical Academy Student Application
for a sibling of students currently enrolled or
a child of a staff member currently employed at Nova

ON-TIME APPLICATION DEADLINE FOR 2012-13: February 24, 2012, 4:00pm

I. STUDENT INFORMATION [Please fill out a separate form for each child]
Last Name:
First Name:
Middle Initial:
Home Street Address:
City:
State:
Zip code:
Home Phone Number:
Grade Applying For (in 2012-13):	Select K 1 2 3 4 5 6 7 8 9 10 11 12
Due to sibling enrollment preference required by Minn Statue 124.D10 Subd. 9, Nova Classical Academy asks that you identify siblings who are concurrently applying for admission at Nova Classical Academy.
Sibling 1 Name:
Current Nova student?	Select Yes No
Sibling 2 Name:
Current Nova student?	Select Yes No
Sibling 3 Name:
Current Nova student?	Select Yes No
NOTICE:  Applicant understands that providing inaccurate information in connection with the application to Nova Classical Academy disqualifies the applicant from enrolling in Nova Classical Academy.
II. PARENT/GUARDIAN INFORMATION
Mother/Guardian
Mother’s Email Address:
Mother’s day phone:
Mother’s Home address (if different than above):
Mother’s City
Mother’s State:
Mother’s Zip code:
Father/Guardian:
Father’s Email Address:
Father’s Day Phone:
Father’s Home address (if different than above):
Father’s City:
Father’s State:
Father’s Zip code:
NOTICE:  All families will be asked to sign a Nova/Home partnership agreement which details goals, expectations, and responsibilities for the student, school, and parent/guardian(s) upon final enrollment. The agreement is available here.
*For early Kindergarten admission applications (DOB after 09-01-07) and for students requesting grade-skipping, additional documents must be submitted with the application.  Please view the website for a list of requirements.
By clicking SUBMIT, you affirm that this information is true as far as you know.