Application for Admission Baltimore International Academy

2017-2018 Academic Year 4410 Frankford Ave.

Apply by Fax: 443-278-9418 Baltimore, MD 21206

By E-mail: Enrollment: 443-278-9417

School: 410-426-3650

Student’s Name______

First Middle Last

Birth Date: ______Male: ______Female: ______

Month Day Year

Children must turn 5 by September 1 to be eligible for Kindergarten and 6 by September 1 to be eligible for First Grade. Some students with later birthdays may be eligible to apply for early admission through the Baltimore City Schools’ Office of Early Learning. To learn more about how to apply for early admission to Kindergarten or First Grade, please contact the school.

Current School______

Student ID# (If currently at a Baltimore City Public School) ______

Grade in 2017-2018 (K-8) ______

Does applicant currently have a sibling at BIA? (Yes/No & name of sibling if applicable)______

Are you a resident of Baltimore City? ___Yes ___No

How did you hear about BIA? ______

Name of Parent/Guardian 1: ______

Address: ______

Street City Zip Code

Telephone: ______

Cell Home Work

E-mail Address: ______

Name of Parent/Guardian 2: ______

Address: ______

Street City Zip Code

Telephone: ______

Cell Home Work

E-mail Address: ______

Indicate your choice of language in order of preference by writing 1st, 2nd, 3rd, 4th, and 5th before the appropriate language. You will be placed in the lottery for your 1st choice. If you are not chosen in the lottery for your 1st choice, you may be offered placement in another language track if spots are available. You may also choose to switch waiting lists after the lottery by putting a request in writing. If you wish to be considered only for your first choice, select only your first choice.

_____Spanish _____Chinese (Mandarin) _____ Arabic _____ Russian ______French

Signed: ______

Parent or Guardian Signature Date

APPLICATION DEADLINE: Feb. 10, 2017 at 3pm Lottery Held: Feb. 17, 2017 at 4pm Notification: Feb. 27, 2017

**In the case of inclement weather on February 17, the lottery will be held on February 24 at 4pm**

Baltimore City Public Schools does not discriminate on the basis of race, color, ancestry or national origin, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, veteran status, genetic information, or age in its programs and activities and provides equal access to the Boy Scouts of America and other designated youth groups.