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Online School Application Form
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The application period is not open.
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Application Status
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 Don't be alarmed to see a blank Lottery Number. You will receive this number after the lottery has been drawn.
All applicants receive the initial status of "Application". This status will be updated and will reflect the state of your application.
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Application Date
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Applicant Number
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Lottery Number
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First Name
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Please provide identification information for the applicant.
You must give us the first and last name and the date of birth. You must provide a middle name if the applicant has one.
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Middle Name
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Last Name
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Date Of Birth
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Gender
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Race/Ethnicity
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American Indian or Alaska Native (A person having origins in any of the original peoples of North and South America (Including Central America) and who maintains tribal affiliation or 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 of 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 Middles East or North Africa)
Hispanic
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
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Home Phone
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Please provide the home phone number of the applicant.
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Home or Residence
Address
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Address
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Provide
your Home or Residence Address. This is required information.
P.O. Box should not be used in this section.
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Appt/Blg
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City
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State
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Postal Code
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Address
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Provide
a Mailing Address only if it is different than your Home Address.
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Appt/Blg
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City
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State
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Postal Code
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School and Grade
of Application
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School And Grade Applying
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Student is currently attending...
Provide
the school and grade you are applying for.
Additionally provide us with the school and grade the applicant is currently attending.
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Current School District
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Current School
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Current School - Address
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Current School - City
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Current Grade
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Comment
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Has Sibling Currently Enrolled in Old Sturbridge Academy
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Does the applicant have a sibling currently attending Old Sturbridge Academy? If the answer is YES, please check the box and type in the sibling name. Please use these fields ONLY if the applicant has a sibling currently enrolled at Old Sturbridge Academy.
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Siblings Also Applying
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Are siblings also applying to Old Sturbridge Academy? Please include their names.
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Receiving Special Education
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Is the applicant receiving Special Education services. Please describe services.
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Please Describe
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Student Is on a 504
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Is the applicant currently on a 504. Please describe accomodations.
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Please Describe
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Receiving ELL Services
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Is the applicant receiving ELL services. Please describe services.
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Please Describe
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Is a Language other than English spoken at home?
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Please specify other language
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Parent Email
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Retype Parent Email
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Relation to Student
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First Name
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Middle Name
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We require that you provide the first and last names for a Parent/Guardian of the applicant.
We also require that you specify the relation of this person with the applicant.
Please provide additional phone numbers if need be (for instance the Cell phone of the Parent/Guardian).
You may provide us with a second Parent/Guardian if you so choose.
Last Name
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Home Phone
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Cell Phone
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Work Phone
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Relation to Student
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First Name
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Middle Name
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Last Name
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Home Phone
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Cell Phone
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Work Phone
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