Applicant's Personal Information First name: (required) Middle name: Last name: (required) Date of Birth: Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 Gender: Select one Male Female Applicant's Contact Information Home phone: Email: Address: City: State: Zip code: Applicant's Educational Background Legal School District of Residence: Current School Name: Grade Applying For: Select one 7 8 9 School Year Applying For: Applicant's Parent/Custodial Parent/Guardian Information Relation to Applicant: Select one Father Mother Step Father Step Mother Grandfather Grandmother Male Guardian Female Guardian First Name: (required) Last Name: (required) Home Phone: (required) Work Phone: Email: Message/Notes How did you hear about Rochester Academy Charter School? Brochure / flyer / handout Relative / Friend Newspaper Radio Other

RACS is now accepting applications for grades 7 through 9 for the 2008-2009 school year. To apply please fill the form on the left. You can also download the following form, fill it in and send it to: Rochester Academy Charter School PO Box 92184 Rochester, NY 14692. Click here to download the application form. Non-Discriminatory Policy Applicants for admission or employment, students, parents of students, employees, and organizations holding agreements with the Rochester Academy Charter School are hereby notified that this school district does not discriminate on the basis of race, color, religion, national origin, sex, age, or handicap in admission or access to, or treatment or employment in, its programs and activities.