Application 2024-2025

Lottery Application

Student Information

How did you hear about the Community Charter School of Paterson (CCSP)? (Please check all that apply):


District of Residence


Free and Reduced Lunch


Previous School Information


Applicant Information

Enrolled Siblings

Applying Siblings


Home/Residential Information


Contact Information

Please provide the parents/legal guardians to be contacted for the student.

Parent/Legal Guardian 1

Genderrequired
Emergency Contactrequired
Has custodyrequired
Can pick up studentrequired
Lives with studentrequired
Resides at student's main home address?required

Parent/Legal Guardian 1 Contact Information

Preferred phone number?
Preferred phone number?

Additional Parent/Guardian

Would you like to add another parent/guardian?


Parent/Legal Guardian Signature

School treats the following signature like a signature on a paper form.

I verify the above information to be correct, and I understand that completion of this form does not guarantee placement in a school. I further understand that I cannot register my child without appropriate address documentation and that only one application can be submitted per child.

I understand that a child admitted under false information is illegally enrolled and could result in disenrollment upon discovery. I further understand that it is my responsibility as the Parent/Legal Guardian to immediately inform the district of any changes to the information provided.


Submission Confirmation Email

Please enter an email address below if you wish to receive a submission confirmation email.

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