Fairbanks North Star Borough School District

Effie Kokrine Charter School Application

Contact Information
 (mm/dd/yyyy)
 (###-###-####)
Mailing Address:
,      
Physical Address: 
,      
Primary Parent/Guardian Information
Secondary Parent/Guardian Information
Current School
Are you currently attending school? Yes   No
If yes, what is your current grade level?
Previous School
Years Attended?
Additional Information
Do you have sibling(s) enrolled at Effie Kokrine? Yes   No
IEP   504   ELP   Other:
if yes, is the plan current? Yes   No
(This in no way affects enrollment consideration. This information is to assure that we gather all required records for each student who is enrolled and will be kept confidential.)