Application for Admission

Application for Admission — 2019-2020

Applications for the 2019-2020 Admissions Lottery will be accepted until February 4, 2019.

This application is only valid for the current (2019-2020) Admissions Lottery cycle.

Applicants will be assigned a Lottery ID which will serve as their identification throughout the Admissions Lottery process, including the drawing on February 26, 2019.

Please watch for email updates containing Admissions Lottery information and important dates throughout the year. If you have any questions regarding your child's application status please email us.

** If you have previously filled out an application for the 2019-2020 Admissions Lottery and would like to add additional campuses or if you need to edit the application, please email us. Do not fill out an additional application. **

Applicant Information
Applicant's Date of Birth*
MM
DD
YYYY
Applicant's Name*
First Name Last Name
2019-2020 Admissions Lottery
Applicants may enter only one application in the Admissions Lottery, but may select more than one campus on the application. Applicants will be placed in their grade's Lottery for each campus selected.
Grade Level for Admittance Term*
Select the grade the applicant will be entering on August 1, 2019. If your child will not enter 7th-12th grade in August 2019, do not fill out an application. We do not keep applications from year to year.
Campus (select each campus the applicant is interested in attending)*
Applicants will be placed in the Lottery for each campus selected.
- Bentonville
- Fayetteville
- Rogers
- Springdale
Is applicant currently expelled?*
- No. My child is not expelled.
- Yes. My child is currently expelled.
Contact Information
Please be advised that email communications are used throughout the Admissions Lottery process to provide important updates and notifications.
If you do not have access to email, please visit a Haas Hall Academy campus for assistance with establishing an email address and completing an application.
Parent/Guardian Name*
First Last
Legal name of applying Parent/Guardian
Parent/Guardian Name
First Last
If applicable
Email Address #1*
Email Address #2
Phone Number*
Family Information
Siblings are defined as children who share at least one common biological or legal parent through natural or adoptive means.
- – Biological Siblings that share parents
- – Half siblings that share a single parent
- – Step siblings that share a parent or parents through marriage
- – Children who share a parent or parents through adoption or guardianship.
Does the applicant's sibling currently attend Haas Hall Academy?*
- No
- Yes
Name of Sibling
First Last
Campus
Siblings will receive preferential Admissions Lottery placement only at the campus in which their sibling is currently enrolled on the date of the lottery drawing (February 26, 2019).
Additional Information – Optional
IMPORTANT: The following questions are optional. Haas Hall Academy will use this information to improve future marketing practices only. Providing this information is NOT required. This information will be kept confidential.
Current School
This information will be used to track the number of applicants coming from Public or Independent schools.
Home Address
This information will be used to determine the applicant's assigned school district.

Street Address City State ZIP Code
Lottery ID
By submitting this application, I affirm to the best of my knowledge all information contained herein is complete and accurate. I fully understand any false information, omissions or misrepresentations of facts may result in rejection of this application and/or future dismissal of the applicant.
Name
This field is for validation purposes and should be left unchanged.

Application for Admission

Application for Admission — 2019-2020

Applicant Information

2019-2020 Admissions Lottery

Contact Information

Family Information

Additional Information – Optional

By submitting this application, I affirm to the best of my knowledge all information contained herein is complete and accurate. I fully understand any false information, omissions or misrepresentations of facts may result in rejection of this application and/or future dismissal of the applicant.