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General Instructions
*SUBMIT ONLY ONE APPLICATION PER CHILD*
Post Office box addresses will not be accepted for the student's address. You MUST
have a resident address, with house number, street, city, and zip code for the application
to be accepted. If you are completing a new application or if there is no preprinted
information in Section I, enter all information requested. Since applications will
be electronically read, please print clearly in CAPITAL LETTERS,
using black or blue ink.
The e-mail address you provided on this application form will only be used by Student
Integration Services to inform you of the status of your child's application.
*It is the responsibility of the parent or legal guardian to complete the application.
View Online Tutorial on how to fill out the Choices Application.
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Verify/Enter student information
For personalized applications, please verify that the information
is accurate. If the information is accurate, you may continue. If it is not,
you should contact the child's LAUSD school to update the student information.
Once you have done so, you may fill out the application and submit it.
• Post Office box addresses will not be accepted for the student’s address. You
MUST have a resident address with house number, street, city, and zip code for the
application to be accepted.
• Any information changes must be corrected at the current LAUSD school of attendance
before the application deadline. The following can be used to verify current address:
Original utility bill such as DWP, Edison, Gas Co., Tax bill or rent/lease agreements.
Telephone bills will not be accepted.
• To Update parent e-mail contact information, please download the
Parent/Guardian Contact Form, fill out and submit
the form to your child's attending school.
For blank applications make sure that you fill out all fields legibly
and completely using black or blue ink.
This information will be entered electronically and used to identify the student.
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Ethnicity information
For participation in the Magnet or PWT Programs, which are Court-Ordered, you MUST
mark ONE federally identified race/ethnicity category for the purpose of selection.
You may also fill in the “Multi-racial/Multi-ethnic” bubble to indicate the applicant
is identified as more than one race/ethnicity. Your application WILL NOT be processed
unless a single ethnicity is indicated.
• AMERICAN INDIAN/ALASKAN NATIVE A person having origins in the original
peoples of North America, who maintains cultural identification through tribal/community
affiliation.
• ASIAN A person having origins in the original peoples of the Far East,
Southeast Asia, or the Indian Subcontinent, e.g., China, India, Japan, Korea and
Philippines.
• AFRICAN AMERICAN/BLACK, NOT OF HISPANIC ORIGIN A non-Hispanic person having
origins in any of the Black racial groups of Africa.
• HISPANIC/LATINO A person of Mexican, Puerto Rican, Cuban, Central or South
American or other Spanish culture or origin, regardless of race.
• WHITE A non-Hispanic person having origins in any of the original peoples
of Europe, North Africa or the Middle East, e.g., England, Egypt, Russia or Iran.
• NATIVE HAWAIIAN/PACIFIC ISLANDER A person having origins in any of the
original peoples of Polynesia, Micronesia or Melanesia.
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Select ONLY ONE program
The choices are Magnet, PWT, or NCLB-PSC. You MUST choose ONLY one program.
Choosing more than one program may cause the application to not to be processed
for selection.
Select Magnet Schools/centers.
Check Permits With Transportation (PWT) program eligibility.
Check NCLB-Public School Choice (PSC) eligibility.
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Sibling information
If the applicant has a brother or sister currently enrolled in the same Magnet school,
PWT or NCLB-PSC for which he/she is applying and who will be continuing next year,
please fill in the sibling’s last name, first name, middle initial and birth date.
Siblings must reside at the same address at the time of application.
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Information Sharing
Depending on seat availability at the particular Magnet or PWT program you have
selected, your child may be placed on a waiting list for the 2010-2011 school year.
Other Magnet or PWT programs of possible interest to you may have space available
for the 2010-2011 school year. With your consent (by marking the “Yes” box), your
contact information will be provided to other Magnet or PWT program staff who may
contact you about alternative Magnet or PWT placements for your child. This information
will be kept confidential and will not be used for any other purpose. You are under
no obligation to accept any alternative Magnet or PWT placement offered to you.
Your child’s name will remain on the current waiting list unless you select an alternative
Magnet or PWT placement.
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Parent Signature
Your signature verifies that all information submitted on the application is correct.
If the applicant is selected, your signature authorizes the transfer of student
records to the Magnet/PWT/NCLB-PSC school.
This application must be signed in black or blue ink.
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Falsification of information will result in the applicant’s removal
from the program. It is the responsibility of the parent or legal guardian to complete
the application.
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