PHA Admissions Application 2027-2028


Student Information


Home/Residential Information


Required Documentation - Proof of Residence

Massachusetts Charter School admissions guidelines mandate that proof of residency must be provided prior to the admissions lottery. The following documents are acceptable as Proof of Residence; Please provide a copy of ONE of the following with your application. If you do not have one of the accepted documents listed below at this time, please submit the application and send one via email to admissions@phacs.org at your earliest convenience:

  • A Utility Bill (not water, cable or cell phone) dated within the past 60 days

  • A Deed, Mortgage Payment dated within the past 60 days, or Property Tax Bill dated within the last year

  • A current Lease, Section 8 Agreement, or Landlord Affidavit (Address Verification form)

  • A W2 form dated within the year or a Payroll Stub dated within the past 60 days

  • A Bank or Credit Card Statement dated within the past 60 days

  • A Letter from an Approved Government Agency* dated within the past 60 days

*Approved government agencies:

  • Departments of Revenue (DOR)
  • Children and Family Services (DCF)
  • Transitional Assistance (DTA)
  • Youth Services (DYS)
  • Social Security
  • Any communications on Commonwealth of Massachusetts Letterhead

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Previous School Information


Grade Level Choice Selection


Additional Applicant Information

Enrolled Siblings

Applying Siblings


Contact Information

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

Parent/Legal Guardian 1

Resides at student's main home address?required

Parent/Legal Guardian 1 Contact Information

Additional Parent/Guardian

Would you like to add another parent/guardian?required



Parent/Legal Guardian Signature

The district 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 to receive a submission confirmation email.

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