grisselle_alvarez@whps.org
50 South Main Street West Hartford, CT 06107
(860) 561-6620
Welcome to the West Hartford Online Magnet Application Form for the 2017-18 school year. No data will be collected until you hit submit on the last page and you will be able to go back and edit the data you entered prior to submission.
We ask on this page for the email address and name of the primary contact person. A copy of this application form will be automatically sent to the email address you enter on this page and will serve as your receipt of the completed magnet application form.
Primary Contact Name
Enter information about the child applying
Date of Birth
Gender
City
State
Child's Current School of Attendance as of January 12, 2007
Parent 1
Parent 2
Child is applying for September 2017 admission into grade
Applying to which school
Please read here about the tuition fees for PreK. 60% of the PreK slots will be reserved for families in Group A - Income less than or equal to 75% of State Median Income, and 40% of the PreK slots will be reserved for families in Group B - Income greater than 75% of State Median Income. Please select which group your family income fits. Upon admission, you will be required to complete an income verification form.
Income Group (see chart in link above)
Does the child have any siblings currently enrolled in or applying to Charter Oak?
Sibling 1 Applying to or Enrolled in Charter Oak
Sibling 2 Applying to or Enrolled in Charter Oak
Sibling 3 Applying to or Enrolled in Charter Oak
Does the child have any siblings currently enrolled in or applying to Smith?
Sibling 1 Applying to or Enrolled in Smith
Sibling 2 Applying to or Enrolled in Smith
Sibling 3 Applying to or Enrolled in Smith