Application

Application for 2022-2023

This application is for this school year. Applications for the upcoming school year (2023 - 2024) will start in January 2023. Application for the 2022-2023 school year will not be forwarded to the upcoming school year. A new application must be completed in January 2023 to be entered into the lottery for the upcoming school year (2023 - 2024). We will notify parents when a spot is available. Thank you for your interest in RLA.

"*" indicates required fields

Student Info

Student's Name*

First Name Last Name

School Currently Attending*

Gender*

Male

Female

Date of Birth*

Grade for 2022-23 *

Grade Level Applying for 2022-23

Parent Info

Parent's Name*

First Name Last Name

Phone*

Email*

We will forward you a copy of your application to this email address.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Note to Rising Leaders Academy (Please include names/grades of siblings at the school (if any) or if you are also registering siblings.

How did you hear about us?*

For additional children please submit separate applications.

Name

This field is for validation purposes and should be left unchanged.