Application for Admission Fall 2017

Thank you for your interest in joining the Benjamin Banneker school community. Please note that Applications must be received by March 7, 2017. Siblings of current students and Cambridge residents are given preference for available openings. For more information on or application process and calendar please review www.bbcps.org

If yes, when and what was the result?
Your Child’s Information
fill in below
Your Child's Name *
Your Child's Name
Please Use First Name, Middle Name
Date of Birth
Date of Birth
Address
Address
Your Child’s School Information
FILL IN BELOW
Parent or Guardian Information
FILL IN BELOW
Parent or Guardian Name
Parent or Guardian Name
Mother, Father, Guardian, etc.
Address 1
Address 1
Best Telephone Number
Best Telephone Number
List siblings names
Parent Signature / Date
Please sign and date on this line
Third Party Information At any given time, a third party can ask for the names and addresses of students to a third party mail house for bulk mailings, unless we have this form with NO, I do not want my child’s information shared. If we have your permission, please check off Yes otherwise no,
How did you hear about Banneker Charter Public School?
Check all that apply
Optional Information
Parent or Guardian Signature/ Date
Sign and date on the line

Information you should know:

Benjamin Banneker is a K1 – 6 Charter Public School • To become a two-year K student, child would need to be 4 by March 31, 2017 • To become a one-year K student, child would need to be 5 by October 1, 2017 • Last day for applications will be Tuesday, March 7, 2017 • The lottery will be held on Wednesday, March 8, 2017 at 1:30 in the BBCPS administration building. • Lottery will be delayed 1 day if there is a snow day and school is closed • After acceptance you must provide birth certificate, proof of residency • Proof of residency can include rent receipt, utility bill, copy of license • Benjamin Banneker is a Public Charter School so there is no fee for families • Siblings of current students are given preference for available openings • Cambridge residents are also given preference for available openings