2014-2015

Space Available Application

Student Integration Services now offers the Space Available Application. Starting

December 2, 2013, parents may apply to Magnet programs on the eChoices

website or complete a Choices paper application. The Space Available process

will allow applicants to apply for a single Magnet program. Space Available

applicants are not assigned priority points and do not accrue any priority points.

Space available seats will open after all of the students on the Waiting list have

been offered placement at the selected school site. Each Magnet’s openings are

determined by the need to maintain a racially balanced enrollment as mandated

by the Court Order, and by available space. Please be aware that filling out a

space available application does not guarantee student placement. Applicants

will be called by the school site when an opening becomes available. This may

occur after April 2014 through January 2015.

To proceed with the Space Available application, download the following

application and mail it in after December 2, 2013 to LAUSD Administrative

Building, Student Integration Services- 25th floor, 333 S. Beaudry Ave, Los Angeles,

CA 90017 or mail the Choices paper application found in the Choices brochure.

You may also apply online. To apply online, go to the 2014-2015 Space Available

Application link on the eChoices main webpage at eChoice.lausd.net. When you

apply online, you will receive a receipt of application with a confirmation number.

Applicants will also be able to view their application online.

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2014-2015 Choices | Application Instructions

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STUDENT INFORMATION

Enter your child’s last name, first name and middle initial.

Enter your child’s correct address, including the apartment number, if any, city and zip code. It is the parent/legal guardian’s responsibility to verify the address at the current LAUSD school of attendance.

Enter the grade level your child is in this school year and the grade level he or she will be in next school year (2014-2015)

Fill in the bubble for your child’s gender.

If your child has ever been enrolled in an LAUSD school, please fill in the “Yes” bubble. (This does not include Independent Charter Schools).

If your child has never been enrolled in an LAUSD school, please fill in the “No” bubble.

Enter the name of the school your child is currently attending.

Enter your child’s date of birth in this format: MM/DD/YYYY

Enter your telephone number and your work, emergency or cell phone number.

Enter the parent or legal guardian’s name and e-mail address.

Fill in the “YES” bubble if you would like to receive all correspondence from Student Integration Services via e-mail.

Due to recent legislation, the minimum agefor Kindergarten and First grade has beenchanged for the 2014-2015 school year.Students entering Kindergarten should beage 5 by September 1, 2014 and studentsentering First grade should be age 6 bySeptember 1, 2014 .

STUDENT’S ETHNICITY/RACE

Magnet and PWT are Court-Ordered programs that require parents to mark ONE federally identified ethnicity/race category on the application.

Fill in the bubble next to the ethnicity or race that best describes the child for which you are applying. You may fill the “Multi-racial/Multi-ethnic” response to indicate the applicant is identified as more than one ethnicity/race but your application WILL NOT be processed unless you select one of the federally identified ethnicity/race categories for the purpose of selection.

AMERICAN INDIAN/ALASKAN NATIVEA person having origins in the originalpeoples of North America, who maintains cultural identification through tribal/community affiliation.

ASIAN A person having origins in theoriginal peoples of the Far East, South-east Asia, or the Indian Subcontinent, e.g., China, India, Japan, Korea and thePhilippines.

AFRICAN AMERICAN/BLACK, NOTOF HISPANIC ORIGIN A non-Hispanicperson having origins in any of the Black racial groups of Africa.

HISPANIC/LATINO A person of Mexican,Puerto Rican, Cuban, Central or SouthAmerican or other Spanish culture or origin, regardless of race.

WHITE A non-Hispanic person havingorigins in any of the original peoples ofEurope, North Africa or the Middle East,e.g., England, Egypt, Russia or Iran.

NATIVE HAWAIIAN/PACIFIC ISLANDERA person having origins in any of the original peoples of Polynesia, Micronesia or Melanesia.

PROGRAM SELECTION

SELECT EITHER OPTION A, B, C or D Option A | MAGNET PROGRAM ONLY

Fill in the bubble ONLY if you are applyingfor the Magnet Program. This option allows you to select a Magnet

Program for your child to attend. Fill in this bubble if you are ONLY interested in applying for a Magnet Program and notany other type of program.

You have the option to list up to three different choices of Magnet Programs. Please do not list the same Magnet Program more than once.

Please see pages 6-17 for the seven-digit school code and name of the Magnet school. Place one number in each box and write the school name in the box to the right .

In order to create a more equitable selection process for all applicants, priority points are used for the applicant's first choice. If the applicant is selected to their first choice, choice two and three are not considered. If needed, applicants will enter a random selection for their second or third choice. If the applicant is selected into any program of their choice, the student will not be placed on any waiting list.

If the applicant does not get selected into a Magnet Program, the applicant will be placed on a waiting list for their First Choice. Any priority points that they may have had will be used, once they are placed on this waiting list.

Applicants currently attending a Magnet and selected into another Magnet will automatically be dropped from current Magnet program.

Continuous Enrollment Magnet Schools. You may now continuously apply to select Magnet schools. Priority will be given to students residing within each continuous enrollment school’s attendance boundary. All other eligible LAUSD students will be selected provided there is space available. The participating schools are: Carthay ES, Crenshaw HS, Lee ES, Los Feliz ES, Irving MS, King MS (Film/Media), Sun Valley MS Engineering Arts/Technology, Sun Valley MS Environmental Studies, Wright MS, and Westchester HS.

Option B | Magnet Program + NCLB-PSCFill in the bubble for BOTH the Magnet Program and NCLB-PSC. This option allows for the selection of up to three Magnet Programs + NCLB-PSC. If selected into any Magnet Program the applicant will automatically be removed from other choices; no waiting list points will be accrued. Please be aware if the applicant is selected into any Choices program, the applicant will not be listed on any Magnet Program’s Waiting List. The District will select the non-PI schools.

Option C | NCLB-PSC ONLYFill in the bubble ONLY if you are applying for NCLB-Public School Choice (NCLB-PSC) . For NCLB-PSC eligibility criteria including a list of PI schools, please visit eChoices.lausd.net or call (213) 241-6572. The District will select the Non-PI school.

Option D | PWT - Permits With Transportation ONLYFill in the bubble ONLY if you are applying for the Permits With Transportation (PWT) Program. Once students are accepted into the PWT Program, they are allowed to matriculate to the next school level (elementary to middle or middle to high) without filling out a new application, providing that space continues to be available. Please visit: eChoices.lausd.net or call (213) 241-6572 to find out about your eligibility.

SIBLING INFORMATION FOR MAGNET, PWT OR NCLB - PSC

If this applicant has a brother or sister currently enrolled in the same Magnet school, PWT or NCLB-PSC* program for which he/she is applying and the sibling 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. It is the parent’s responsibility to verify that the siblings have the same address on file in the District's computer system at the current LAUSD school of attendance by the application deadline.

INFORMATION SHARING

Depending on seat availability at the particular Magnet Program(s) you have selected, your child may be placed on a waiting list for the 2014-2015 school year. Other Magnet programs of possible interest to you may have space available for the 2014-2015 school year.

Fill in the “yes” bubble if you want to share your child’s information.

Note: If you do accept placement at an alternate Magnet, your child’s name will be removed from the original Magnet wait list and all waiting list points will be removed.

SIGNATURE OF PARENT/ LEGAL GUARDIAN

Sign your name and write the date in the box provided to verify 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, or NCLB-PSC school. This application must be signed in black or blue ink.

Falsification of information will result in the applicant’s removal from the program. Double-check your information. It is the responsibility of the parent or legal guardian to complete the application correctly.

Your signature on the application signifies that you have read and understood the Choices Application Guidelines and Instructions.

Please contact Student Integration Services at (213) 241-4177 if you

have any questions.

NOTE:Applications must be complete and postmarked or received by Student Integration Services by 5:00 p.m. Friday, November 15, 2013 to be considered eligible. Please use the following address if an envelope is not provided inside this booklet:Student Integration Services333 S. Beaudry Ave. 25th FloorLos Angeles, CA 90017

Submit an original application only, nocopies will be accepted; or, apply online at eChoices.lausd.net

By the month of March, parents and/or legal guardians will be notified, in writing, as to whether the student has been accepted or placed on a waiting list.

No late applications are accepted for Magnet, PWT, or NCLB-PSC.

DO THIS NOT THIS X

WHEN FILLING OUT THE APPLICATION:

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Student Integration Services will be closed from December 24, 2013 to January 3, 2014

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If your child is placed on a Magnet waiting list, do you want his/her name shared with other schools that may have space available?See information on page 16.

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PROGRAM PARTICIPATION IS ONLY FOR STUDENTS WHO LIVE WITHIN THE BOUNDARIES OF THE LOS ANGELES UNIFIED SCHOOL DISTRICT

You may apply online at echoices.lausd.net or by completing this application• ONLY one application will be accepted and must be for the grade the applicant will be in during the 2014-2015 school year.• Application must be complete. Submit an original application only, no copies will be accepted.• Return by U.S. mail using the enclosed envelope. Please make and retain a copy of this application for future reference.• Applications must be postmarked or received by the Los Angeles Unified School District by FRIDAY, November 15, 2013.• Select one of the following options: A. Magnet, B. Magnet + NCLB-PSC, C. NCLB-PSC Only, or D. PWT Only.

2014-2015CHOICES

APPLICATIONTHIS APPLICATION MAY ONLY BE SUBMITTED FOR THE 2014-2015

SCHOOL YEAR. OTHER APPLICA-TIONS WILL NOT BE PROCESSED.

1. STUDENT’S LAST NAME STUDENT’S FIRST NAME MI

2. STUDENT’S ADDRESS – NUMBER AND STREET (P.O. BOXES WILL NOT BE ACCEPTED) APARTMENT NO.4. GRADE THIS

SCHOOL YEAR2013-2014

5. GRADE NEXTSCHOOL YEAR2014-2015

3. CITY ZIP CODE

Male Female

7. SCHOOL NOW ATTENDING

Yes No

8. STUDENT’S BIRTHDATE 9. HOME TELEPHONE NUMBER 10. WORK OR EMERGENCY TELEPHONE NUMBER EXTENSION

MONTH DAY YEAR AREA CODE AREA CODE11. PARENT/LEGAL GUARDIAN’S LAST NAME PARENT/LEGAL GUARDIAN’S FIRST NAME MI

12. PARENT/LEGAL GUARDIAN’S EMAIL ADDRESS 13. Receive correspondence via email only?

YES No

We may use the email address you provide to inform you of the status of your child’s application.

American Indian/Alaskan Native Hispanic/Latino You may fill in “Multi-racial/Multi-ethnic”; however, by Court Order, you MUST also bubble ONE federally identified ethnicity/race category to the left for the purpose of Magnet/PWT selection. Application will not be processed unless an ethnicity/race is also indicated.

Asian White

African American/Black Native Hawaiian/Pacific Islander

Multi-racial/Multi-ethnic

PROGRAM SELECTION - SELECT ONE OF THE FOLLOWING OPTIONS: A. Magnet, B. Magnet + NCLB-PSC, C. NCLB-PSC or D. PWT

A. MAGNET PROGRAM – TRANSPORTATION MAY BE PROVIDED (SEE PAGE 3)

MAGNET This option allows you to select a Magnet program by making up to three choices. Print the school code and the full name of the Magnet Program for which the student is applying. School codes are located in front of the school name on pages 6-17. (If applying to a gifted/high ability/highly gifted Magnet, please see requirements on page 8).

1ST CHOICE: SCHOOL CODE FIRST MAGNET SCHOOL YOU ARE REQUESTING (Please print school name exactly as it appears on pages 6-17).

2ND CHOICE: SCHOOL CODE (OPTIONAL) (OPTIONAL) SECOND MAGNET SCHOOL YOU ARE REQUESTING (Please print school name exactly as it appears on pages 6-17).

3RD CHOICE: SCHOOL CODE (OPTIONAL) (OPTIONAL) THIRD MAGNET SCHOOL YOU ARE REQUESTING (Please print school name exactly as it appears on pages 6-17).

B. MAGNET + NCLB-PSC – TRANSPORTATION WILL BE PROVIDED FOR NCLB PSC SCHOOLS (SEE PAGE 3)MAGNET NCLB-PSC

This option allows for selection of up to three Magnets above, and NCLB-PSC. To see if you are eligible to apply for NCLB-PSC, please visit eChoices.lausd.net or call (213) 241-6572. The District will assign a school for your child to attend.

C. NO CHILD LEFT BEHIND – PUBLIC SCHOOL CHOICE (NCLB-PSC) Program – TRANSPORTATION WILL BE PROVIDED (SEE PAGE 3)

NCLB-PSC This option allows for the selection of a NCLB-PSC Program ONLY. To see if you are eligible to apply for NCLB-PSC, please visit eChoices.lausd.net or call (213) 241-6572. This choice cannot be combined with any other option.

D. PERMITS WITH TRANSPORTATION (PWT) PROGRAM – TRANSPORTATION WILL BE PROVIDED (SEE PAGE 3)

PWT This option allows you to select a PWT Program. Please fill in this bubble ONLY if you live in a PWT Sending Area. Call (213) 241-6572 to check and see if your address qualifies. The District will assign a school for your child to attend. This choice cannot be combined with any other option.

Has your child ever been enrolled in an LAUSD school?

6. STUDENT’S GENDER

STUDENT INFORMATION - Please complete the information below.

If the above applicant has a brother or sister currently enrolled in the same program for which he/she is applying and the sibling will be continuing next year, please fill out the sibling’s information below.

STUDENT’S ETHNICITY/RACE – FILL IN ONLY ONE

SIBLING INFORMATION FOR MAGNET OR PWT OR NCLB-PSC

SIBLING’S LAST NAME SIBLING’S FIRST NAME MI SIBLING’S BIRTHDATE

MONTH DAY YEAR

INFORMATION SHARING

Yes No

SIGNATURE

For the student to be eligible for selection or assignment, all information must be complete and accurate. The application must be signed in ink. Falsification of information will result in an application not being processed and/or an applicant’s removal from the program. It is the responsibil-ity of the parent/legal guardian to complete the application correctly or it will be rejected.

SIGNATURE OF PARENT OR LEGAL GUARDIAN (USE BLACK OR BLUE INK) DATE

MONTH DAY YEAR

79215

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If your child is placed on a Magnet waiting list, do you want his/her name shared with other schools that may have space available? See information on page 18.