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NCS - Student Application

To apply at Niagara Charter School, please fill out the form and you will be contacted when an opening is available.

Step 1 of 6

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Welcome to Niagara Charter School
We know the application process can take quite some time. Please know that the application process only takes a few minutes to complete. Before we can begin, we need to learn a little more about you to make sure everything processes smoothly. Once completed, you will receive a confirmation email with all of your submitted information and we will contact you as soon as possible. Please begin by telling us a little about yourself.
School Year(s) applying for*
- September 2023 - June 2024
- September 2024 - June 2025
How did you hear about Niagara Charter School?*
Name of Person Submitting Form*
First Last
Email Address of Person Submitting Form*

Student Information
The information should appear as found on the child's Birth Certificate
Student Name*
First Last
Student Age*
Please enter a value less than or equal to 14.
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Student Date of Birth*
Student Current Grade Level*
Grade Level Applying For*
School District student is currently residing in*
- Niagara Falls
- Niagara Wheatfield
- Lockport
Sibling(s) Currently Attending Niagara Charter School*

Names and Grades of Siblings who attend Niagara Charter School

Sibling Name	Sibling Grade

Home Information
Please be as accurate as possible.
Select Legally Responsible Adult(s) (parent/guardian)*
- Mother/Female Guardian
- Father/Male Guardian
- Both Mother/Female Guardian and Father/Male Guardian
- Other
Please provide details from the question above if "other" was selected.*
Mother/Female Guardian Name
Prefix First Last Suffix
Mother/Female Guardian Contact Information
Home Phone Number Mobile Phone Number Work Phone Number Email Address
Father/Male Guardian Name
Prefix First Last Suffix
Father/Male Guardian Contact Information
Home Phone Number Mobile Phone Number Work Phone Number Email Address
Other Guardian Name
Prefix First Last Suffix
Other Guardian Contact Information
Home Phone Number Mobile Phone Number Work Phone Number Email Address

Additional Contacts
Please list any additional contacts that may be used if an emergency were to arise.
Are there any other alternate contacts?*
Other contacts
Contact Name Contact Phone Number Contact Relationship to Student

Miscellansous Information
Are there siblings also applying to Niagara Charter School?*
Siblings also applying to Niagara Charter School
First Name Last Name Grade Applying For
Notice
Niagara 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 achiecement or aptitude, athletic ability, race, creed, gender, national origin, religion, or ancestry. A school may not requre any action by a student or family (such as an admission test, interview, essay, attendance at an information session, etc.) in order for an applicant to either receive or submit an applicaiton for admission to that school
*
- I agree that the information above is correct to the best of my knowledge. I agree to submit my application electronically to Niagara Charter School.
Additional Information

Please use this area to provide any extra information you may wish.

Lottery Lunch Application
The lottery application is ONLY to determine how your child is placed in the lottery.
The following chart lists income levels according to household size and income levels received either yearly, monthly, or weekly. If your household income is the same or less than the amount on the Income Chart below, your child may be eligible to receive free or reduced price lunches.
FOSTER CHILD
- If the above named child is the legal responsibility of a welfare agency or court, check this box
List the child's personal use income.*
Write "0" if the child has no personal use income.
HOUSEHOLDS GETTING FOOD STAMPS OR TEMPORARY ASSISTANCE TO NEEDY FAMILIES (TANF):
Food Stamp Case # TANF / FDPIR Case #

Complete this section and sign the application in Part 5 OR submit a Direct Certification letter from the Office of Temporary and Disability Assistance or Food Distribution Program on Indian Reservations (FDPIR). Write your case number as provided on your benefit letter, not the number on your benefit card
Earnings & Wages*
Household_Member Name Earning From Work Child Support, Alimony, Etc Payments from Pension or Retirement Other Income

Earning From Work Before Deductions (Amount/How Often) Child Support, Alimony, Etc (Amount/How Often) Payments from Pension or Retirement (Amount/How Often) Other Income (Amount/How Often) Examples $100/weekly, $100/bi-weekly, $100/2x per month, $100/monthly. If pay period is not noted, the reviewing official will process the reported income amount as received weekly.
Untitled
Phone
This field is for validation purposes and should be left unchanged.

* * *

Apply Online

NCS - Student Application

Step 1 of 6

Welcome to Niagara Charter School

Student Information

Home Information

Additional Contacts

Miscellansous Information

Notice

Lottery Lunch Application

The following chart lists income levels according to household size and income levels received either yearly, monthly, or weekly. If your household income is the same or less than the amount on the Income Chart below, your child may be eligible to receive free or reduced price lunches.

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