Admissions PTAA 2022-2023 School Year Student Application *For 2021-22 School Year Admission CLICK HERE Note: This form is for new families who are seeking admission in :North Dallas Campus(15720 Hillcrest Rd, Dallas) for 2022-23 School year: K-11th Grade& PTAA Mesquite(Oates Campus and Beltline Campus) and PTAA Greenville Campus for 2022-23 School year : K-12th Grade& PTAA Rockwall County Campus(Fate and Royse City) for 2022-23 school year:K-12th Grade. Primary Guardian First name Last name Secondary Guardian First name Last name Street Address City State Zip Code Mobile Phone Work Phone Home Phone *You must have a valid email account so we can contact you. Please create free email account at: http://mail.google.com or http://mail.yahoo.com Main Email Address Alternate Email Address In what PUBLIC School District do you currently reside and Name of the school? How did you hear about us? Why did you select PTAA? Please enter names of up to six students: (Names should match birth certificate) *Discipline: Does the applicant have any documented history of discipline problems, criminal offense, juvenile court adjudication, or removal to an alternative education program for cause or expulsion? PTAA has the right to exclude students with documented histories of a criminal offense, juvenile court adjudication, or discipline problems YesNo First name Last name Gender DOB Discipline* Campus* Grade Action First name Last name Gender Select...MaleFemale DOB Discipline* Campus* Select...Fate Secondary TXGreenville TXMesquite Beltline Elementary TXMesquite Oates Secondary TXNorth Dallas TXRoyse City Elementary TX Grade Select...K grade1st grade2nd grade3rd grade4th grade6th grade7th grade8th grade9th grade10th grade11th grade12th grade Action -+ Twins, Triplets or other Multiple Births Does this child have a twin or triplet or other multiple birth? YesNo Other Siblings Applying to PTAA Does this applicant have a brother or sister, other than a twin, triplet, or multiple birth, who is also applying to a PTAA School? YesNo Siblings Currently Attending PTAA Does this applicant have a brother or sister currently in a PTAA School? YesNo PTAA Connections Is the parent a PTAA faculty member? YesNo For Informational purposes only (does not impact lottery priority) Is the student a brother or sister of a PTAA alumna or alumnus? YesNo School Communications YES! I would like to stay connected via the PTAA newsletter. YES! I would like to get text reminders about key important dates. For lottery communications, If I can't be reached, call this person Name* Phone* I CERTIFY: By checking this box, I certify to the best of my knowledge and belief that the information in this application is complete and accurate. I understand that any false information, omission, or misrepresentation of facts may result in the rejection of this application or future dismissal of the applicant(s). Agreement and Signature Submitting this application does not mean or guarantee that the application will be accepted. By completing this application correctly and notifying us of changes, we guarantee that you will be contacted if the application is accepted through our random lottery process. If the application is accepted because you submitted false, incorrect or misleading information, we may refuse to enroll the student. By signing your name below and submitting this application, you are agreeing that the information you provided is true and correct. I agree that the information I provided is true and correct. Parent Signature* Date*
