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9th Grade Lottery Application Form 2019-2020

Please complete the requested information as it applies to your student. Lottery receipts will be emailed when a completed form is submitted. Forms will be accepted from December 3, 2018 at 7:30am - February 15, 2019 at 4:00pm.

The incoming freshmen lottery will be held at POLAHS on February 22, 2019 at 4:00pm.

Lottery Application forms may also be printed and submitted in person (by a parent or legal guardian) or by mail. For questions, admissions office hours are Monday through Friday from 8:00 am to 4:00pm. 

Note: Applications will not be accepted during regularly scheduled school break times 10:00-10:30am and 12:25-1:00pm.

Student Information

State

Parent Information

The student is a:

*If more than one form is turned in, only the first one will be entered into the lottery.

"I certify, with my signature, that all of the information provided on this form is accurate to the best of my knowledge. I understand that deliberately providing false information on this form may disqualify my student from the lottery application process."

Confirmation Email