Columbus High School Liberal Arts Magnet
1700 Cherokee Avenue ● Columbus, GA 31906
Application for Enrollment
Name:____________________________________________________________ Birthdate:____________________
Email Address:______________________________________
Address:___________________________________________ City________________ State:_______ Zip:______
Father/Guardian’s Name:________________________________________ __ Home Phone:__________________
Name of Employer:_______________________________________________ Work Phone:___________________
Mother/Guardian’s Name:__________________________________________ Home Phone:__________________
Name of Employer:_______________________________________________ Work Phone:___________________
School you currently attend:_________________________ Current Grade Level:_____
Current Math Class:_______
School Address if not in Muscogee County:__________________________________________________________
Optional Information (While not required, the following information will help us meet your needs.)
Ethnicity: African American American Indian Asian or Pacific Islander Hispanic
Middle Eastern
Multiracial
White Other (please specify)_________
Gender: Male Female Siblings currently at CHS:___________________
Place a “P” next to the activities in which you currently participate. Place an “I” next to the activities in which
you have an interest, but in which you do not participate:
___ Academic Bowl/Team
___ Drama
___Science Club/Team
___ Band (Instrument ___________) ___ Football
___ Soccer
___ Baseball
___ Gifted Program (currently enrolled)
___ Softball
___ Basketball
___ Golf
___ Swimming
___ Cheerleading
___ JROTC
___ Tennis
___ Chorus (Part _______________) ___ Lacrosse
___ Track and Field
___ Cross Country
___ Math Club/Team
___ Volleyball (Girls)
___ Dance Team
___ National Junior Honor Society
___ Wrestling
___ Orchestra (Instrument __________)
List your community activities: (piano lessons, Scouts, church, volunteer work, etc.):
_____________________________________________________________________________________________
_____________________________________________________________________________________________
________________________________
List your previous awards (academic, music, sports, etc.):
_____________________________________________________________________________________________
___________________________________________________
A COPY OF YOUR LATEST REPORT CARD SIGNED BY YOUR GUIDANCE COUNSELOR MUST BE ATTACHED TO THIS
APPLICATION.
(This application packet will only be available to the Admissions Committee.)
Parent Approval of Application
My child has my permission to apply to the Columbus High School Liberal Arts College Preparatory Magnet. I realize that after
testing, I will be notified about acceptance into the magnet. At that time, if I choose for my child to attend CHS, a non-refundable
social fee of $40 is due. Shortly after school starts, a field trip fee (about $55) will be due. Both the social fee and field trip fee are
yearly expenses. In addition, I understand that my child will be required to take at least one Advanced Placement class while a student
at CHS.
Parent Signature:__________________________________________________________ Date:_____________________