City Lights Public Charter School

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ADMISSIONS

ADMISSIONS

City Lights Public Charter School (PCS) welcomes youth ages 14 to 22 with emotional and behavioral disabilities who are in need of a supportive academic environment. We offer a unique program that provides a comprehensive academic curriculum, along with transition, counseling and family support services.

To apply, please complete the form below, or call (202) 832-4366. Our Special Education Coordinator will contact you to set up an appointment for an interview.

Student's Name:
Sex:	Male Female
Current School:
Current Grade:
Date of Birth:	Month Day Year
Is your child currently in special education?	Yes No
Disability:
	Does your child have an Individualized Educational Program (IEP)? Yes No

Parent/s or Guardian/s

Name:
Address:
City:
State:
Zip:
Home Number:
Work Number:
E-mail:
How did you hear about the school:

62 T STREET NE
WASHINGTON DC 20002
202.832.4366
202.832.3654 Fax

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