This form is only for NEW students wishing to enroll for the 2017-2018 school year. Currently attending students do not need to submit this form. Step 1 of 5 20% Student InformationStudent Name* First Last Date of Birth GenderMaleFemalePrefer Not to AnswerGrade Level by End of Current School Year* My child will qualify as a freshman having completed 8th grade. My child will qualify as a sophomore having completed 9th grade. My child will qualify as a junior having completed 10th grade. My child will qualify as a senior having completed 11th grade. Name of School Attended in Current School Year*Students entering grades 10-12 should send a transcript to determine correct course placements. Please email a transcript to firstname.lastname@example.org or fax a transcript to 505-281-4173, Attn: Carol Wirth. Parent/Guardian 1Parent Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Parent Email* Parent Home Phone*Parent Cell PhoneParent Work Phone Parent/Guardian 2Parent Name First Last Address Street Address City State / Province / Region ZIP / Postal Code Parent Email Parent Home PhoneParent Cell PhoneParent Work Phone Sibling StatusDo you have a child currently attending EMHS?*YesNoIf yes, please provide name of student:Do you have another child who is currently applying for admittance through the lottery?*YesNoIf yes, please provide name of student:Please note: One Lottery Form must be submitted for each child wishing to enter the lottery. Enrollment preference is given to siblings, defined as one who shares at least one biological parent or legal guardian and lives 50% of the time in the same household. Siblings are students currently attending EMHS or students simultaneously being admitted through the current year’s lottery process. AcknowledgmentsI/We understand that delivery of this completed form does not guarantee the student’s admission to EMHS. I/We understand that if more Lottery forms are received than allotted openings, a public lottery will be held the evening of March 6th to establish the order of enrollment for the available spaces. I/We attest that all information provided is true. I/We understand that the completed Lottery Form is the first part of the enrollment process. If my/our child is selected to attend East Mountain High School, the next mandatory steps are: (1)attendance at “Timberwolf Talk” night, (2)completion of a pre-enrollment packet, (3)appropriate pre-assessment testing and (4)completion of fall registration on August 7. If the student is currently on an IEP or 504 Plan, a copy of the most recent documentation must be submitted and the parent/guardian will be required to meet with the Special Education Coordinator as part of the enrollment process. I/We understand that failure to timely complete any part of the enrollment will jeopardize final admission. I/We understand that falsifying any information will jeopardize enrollment.How did you hear about the East Mountain High School lottery?*NewspaperPostcardWebsiteSocial MediaWord of MouthMovie ADAlbuquerque Journal ArticleOtherParent Signature*CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle AJAX powered Gravity Forms.