First Name

Middle Name

Last Name

• American Indian or Alaskan Native: A person having origins in any of the original peoples of North and South America including Central America, and who maintains a tribal affiliation or a community attachment.
• Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.
• Black or African American: A person having origins in any of the black racial groups in Africa.
• Native Hawaiian or other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
• White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Choose one or more:

Does the applicant have any siblings currently enrolled in New Heights Charter School of Brockton ?

Siblings are verified prior to the application being entered into the lottery

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 further understand that it is my responsibility as the Parent/Legal Guardian to immediately inform the school of any changes to the information provided.

I understand any false statements may result in forfeiting my children's seat.

Please re-enter your email address below

Open Enrollment Ends Wednesday, March 4, 2020 at 5pm

You must fill out an application for each child applying to New Heights. Please refrain from filling out more than one application for the same child, it creates duplicates not higher chances of acceptance.

Remember to submit the application.