Mark yes only if the student has a sibling in the school that they are applying for

This is the email address the school will use to communicate with you.

**Confirmation for receipt of application will be sent to the above email.

By submitting this application:

1. I request that my child be considered for enrollment at Pioneer Charter Schools for the grade indicated above; and
2. I understand that if there are more applications than seats available, then my child will be assigned a number and entered into a random enrollment lottery to determine placement in the school or wait list.
3. I acknowledge that I have read and understand the Pioneer Charter School lottery rules and regulations.

We/I, the undersigned, hereby certify that, to the best of our/my knowledge and belief, the answers to the foregoing questions and statements made by us/me in this application are complete and accurate. We/I understand that any false information, omissions, or misrepresentations of facts may result in rejection of this application or future dismissal of the applicant.

The electronic signature below and its related fields are treated by Pioneer Charter School like a handwritten signature on a paper form.

Pioneer Charter School of Science does not discriminate on the basis of race, color, national origin, creed or religion, sex, gender identity, ethnicity, sexual orientation, mental or physical disability, age, ancestry, athletic performance, special need, proficiency in the English language or a foreign language, or prior academic achievement.