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Admissions Application

Portland Village School 

A Public Charter School 

Student Admissions Application 2019-2020

Student Information:

Please complete a separate application for each student

Grade entering in September 2019*
Current Grade

Student Address:

State*
Gender:
Grade of Currently Enrolled Sibling, if Applicable:
Grade of Additional Student Applications, if Applicable:

Parent/Guardian Information:

Parent/Guardian Address (if different from student) :

State

Phone Contact Information:

Please list two phone numbers, so that we might reach you about your application.

My child is currently enrolled in or at:

The following questions about ethnicity and race are optional. Your answers will help us focus future outreach efforts and to make sure underrepresented groups are able to access the school.

What is your Ethnicity or origin? Mark as many boxes as appropriate.
State and federal standards require that you choose a single identity. *
Please choose one racial identity below:
My child is currently enrolled in the following programs and/or receives the following services:
Is your child part of a historically underserved group per ORS 338.125?
If yes, please check all that apply

Documentation:

Your application must include:

  • 2 pieces of proof of residence 
  • Copy of birth certificate/passport. 

 You may attach files below or submit them directly to PVS to be included in your application:   

Portland Village School

Attention: Enrollment Coordinator 

7654 N Delaware Ave. 

Portland, OR 97217 

Upload or drop your file(s) here:
(Please ensure they are clear and legible or they will not be valid)
or drag it here.

Please read and sign each of the statements below:

Portland Village School does not discriminate against any person on the basis of race, color, national origin, disability, sex, or age in admission or participation in its programs, services, and activities, or employment.

DUE DATE: Wednesday, April 1st, 2020

Confirmation Email