Estancia Valley Classical Academy
T r u t h
a n d
V i r t u e
PO Box 2340 / 132 Impala Ct. Moriarty, NM 87035 (505) 832-2223 theevca.com facebook.com/TheEVCA U p h o l d
t h e
R e p u b l i c
2017-‐2018 EVCA Enrollment Letter of Intent (LOI) and Lottery Application Form
Enrollment Window: Jul 10th – Aug 4th, 2017 (office closed 7/14 and 7/21) Student’s Name (one per form): _________________________________________________________________ Date of Birth: _________________________________ Grade Entering this fall: __________________________ Parent/Guardian’s Name (with whom the child resides): ______________________________________________ Mailing Address: _____________________________________________________________________________
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Physical Address: _____________________________________________________________________________
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Home Phone Number: ____________________ Cell Phone Number: ___________________________________ E-‐mail address: _______________________________________________________________________________ Siblings with LOIs in this same enrollment: ________________________________________________________ It is my desire to enroll my child, _____________________________________ in the Estancia Valley Classical Academy (EVCA), a free public charter school, for the 2017-‐2018 academic year. I understand that my completed Letter of Intent must be hand-‐delivered to the EVCA office, at 132 Impala Ct., Moriarty, during office hours (or by appointment) no earlier than Monday, Jul 10th, and no later than 3pm on Friday, Aug 4th, 2017. Note: Any intentionally falsified information now or in the future will disqualify your child from enrollment in EVCA. An EVCA Information Session for prospective parents will be held at the school on Wed, Jul 12th, at 7:00pm. The Enrollment Lottery will be held at the EVCA on Tuesday, Aug 8th, 2017, at 7:00pm, with a New Student Orientation meeting immediately following. Signature of Parent/Guardian: __________________________________ Date: ___________________________ School Website: www.theevca.com / www.facebook.com/TheEVCA School phone: (505)832-‐2223 th st EVCA office hours: Monday through Friday (except holidays), 9am – 2pm. Closed Jul 14 and 21 .
FOR OFFICE USE ONLY
Received by: ______________________ Time: ________ Date: ________ Recorded in Drive: ☐ by ______________________ Date: ________
The EVCA does not discriminate against any student based on disability, physical or mental handicap, serious medical condition, race, creed, color, sex, gender identity, sexual orientation, spousal affiliation, national origin, religion, ancestry or need for special education services. Charter school students with disabilities and their parents retain all rights under the federal Individuals with Disabilities Education Act and its implementing state and federal rules. For questions regarding this policy, please contact the Executive Director, 132 Impala Ct, Moriarty, New Mexico 87035, (505) 832-‐2223,
[email protected].
