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Application for Student Admission: 2012-2013

For help completing this application, please call 518-694-3400
Para un uso en espaƱol, llame por favor 518-694-3400.

Green Tech High Charter School is accepting applications for enrollment for ninth grade boys. Enrollment preference is given to students who live in the City of Albany. If the number of applications received exceeds the space available, a random lottery will be held on April 2, 2012 to determine admission to the school.

Please complete the form below. Mandatory fields marked *

  1. Radio
    Newspaper
    Door Hanger    
    Word Of Mouth
    Current/Past Student    
    Parent of Current/Past Student    
    Internet Search
    Billboard
    Bus Shelter Ad
    Other    

Student Information
  1. (DD/MM/YYYY)

Parent/Guardian Information


Special Needs Information (voluntary, not required)





Sibling Information (voluntary, not required)

List the name, birth date, gender and September 2012 grade level of siblings of the student applying to Green Tech High Charter School (Responding to this question is voluntary and will not affect admission in any way):





Parent/Guardian Signature
(DD/MM/YYYY)

FOR OFFICE USE ONLY - DO NOT ENTER INFO

Upon admission, families must provide verification of residency, a copy of the student's prior year academic record, birth certificate and immunization record. In addition, student registration forms, lunch program applications and transportation forms must be completed.