Cornerstone Academy Preparatory School
Application
School Year 2015-2016
Now accepting applications for Kindergarten to 6th grade students for the 2015-2016 school year.
Located in the Franklin-McKinley School District in San Jose, Cornerstone Academy is open to all students in California. Any student who meets the following two criteria may apply:
1. The student is a resident of California. (Note: Preference will be given to siblings of current students and students residing in the Franklin-McKinley School District boundaries.)
2. Prior to September 1, 2015, the student is at least five years old if applying for kindergarten.
Seats are limited. Apply immediately. The application deadline is 5:00PM on 12/12/2014. All applications received after this date will be placed on the waitlist.
Student’s Last Name: ______Student’s First Name: ______
Male or Female: ______Age: ______Date of Birth: ______
Current School (if any): ______City of School______
Grade applying for school year 2015-2016: ______
Mother/Guardian Name: ______□Lives w/ child (please check)
Work Number: ______Cell Number: ______
Father/Guardian Name: ______□Lives w/ child (please check)
Work Number: ______Cell Number: ______
Email: ______
Home Address: ______
Street number and name
______City State Zip Code
Please indicate whether the applicant’s sibling is applying to Cornerstone Academy or is currently enrolled at Cornerstone Academy. Please note that each child needs to submit a separate application.
Name of Sibling: ______Date of Birth: ______
Please drop off completed application with proof of age to the Cornerstone Academy Main Office and copy of Utility Bill if you are located in the FMSD School District or mail both documents to:
Cornerstone Academy Preparatory School
1598 Lucretia Ave
San Jose, CA 95122
For Office Use Only:Current Student (Y/N): ______
Grade Level: ______
In-District (Y/N): ______
If no, DOR:______
Sibling (Y/N): ______ / Date Received:
Tear off below:
Receipt of Application:
Students Name:______Date Received:______
Cornerstone Academy Staff: ______
1598 Lucretia Ave, San Jose, CA 95122
www.cornerstoneacademysj.org
(408) 361-3876(p)
(408) 361-3878(f)