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Orange Grove
Charter School
Charter School Accepting Students for Child Development to Grade 7
Applying for the
2016-2017 School Year
Completed applications (Part A & B) should be
submitted to OGCS by Friday, December 4, 2015.
All mailed applications must be postmarked by this
date. Please keep this page for your records.
As a charter, OGCS accepts applications from any resident of Charleston County.
Please call (843) 763-1520, or visit the school’s website
at www.OGECS.com for more information.
Application materials may be hand delivered, faxed to
(843) 769-2245, or mailed to 1225 Orange Branch Road,
Charleston, South Carolina 29407.
About Our School
Orange Grove Charter School (OGCS) is well known for
being one of the highest performing schools in the state
If student information changes, parents are responsible
for contacting the school and making those changes.
and has been recognized with several prestigious state and
Date
Application Step
national awards, including the National Blue Ribbon
Award, the SC Palmetto's Finest Award, Exemplary
Thursday,
October 1, 2015
Applications available
online and at school.
Writing School, Palmetto Gold and the Environmental
Tuesday,
November 10, 2015
Prospective parent tours at OGCS
elementary campus
Friday,
December 4, 2015
Applications MUST be received or
postmarked by 4:00 p.m.
Thursday,
January 14, 2016
Applications reviewed;
Lottery held if necessary.
students. Effective instructional programs enhance the
Friday,
January 29, 2016
Letters indicating selection status
issued to applicants.
curriculum with an emphasis on writing, literature, and
Friday,
Students selected for admission
School of the Year. Students at OGCS are known for having
outstanding test scores and consistently perform higher
than their peers on both state and national assessments.
OGCS's
curriculum
overflows
with
innovative,
motivational techniques for instructing CD through
seventh grade children of all ability levels in a learning
environment designed to challenge and stimulate all
hands-on math and science. Technology comes alive with
four networked computer labs and the use of SMART
boards, computers, IPads and Chrome Books in all
classrooms. Our middle school program, which is
temporarily housed on the old Oakland Elementary
campus, is thriving. We will add seventh grade in 20162017 and eighth grade in 2017-2018.
Strong parental involvement and support are key to the
school’s success and OGCS parents and students know this
is the place “Where Great Minds Grow”.
February 12, 2016
must notify school with their decisions.
CCSD’s Choice Application for the 2016-2017 School Year: Part B
Orange Grove Charter School
To Parents and Students: To be considered for admission, Parts A and B must be completed and
returned to the school or postmarked no later than December 4, 2015.
Application materials may be hand delivered, faxed to (843) 769-2245, or mailed to 1225 Orange
Branch Rd., Charleston, SC 29407. Please call (843) 763-1520 or visit www.ogecs.com for more
information.
I. Current Grade Level
Name of Child __________________________________________________________________________________________________
Please check the applicant’s grade level for the 2016-2017 academic year:
(Students must turn four years old before September 1, 2016 to attend CD. Students must turn five years old
before September 1, 2016 to attend Kindergarten)
CD ☐
2nd ☐
5th ☐
Kindergarten ☐
3rd ☐
6th ☐
1st ☐
4th ☐
7th ☐
II. Extra Curricular Activities Grades 3-7
Available programs include, but are not limited to:
Sailing (MS)
Chorus (ES)
Girls with Sole
SAIL (Gifted
&Talented)
Volleyball (MS)
Studio Art (ES)
Emperor’s Club
Strings
Football (MS)
Baseball (MS)
Empress Club
Golf (MS)
Basketball
Tennis
Cross Country (MS)
Soccer Club
Student Council
WTMN-News Show
Softball (MS)
Google Club (ES)
III. Other Required Documents

 Most recent report card (if applicable)

 2 Proofs of residency (A tax bill, mortgage statement, or lease is mandatory. An electric bill, water

 Birth certificate
bill, car registration, or bank statement is also required.)
 Immunization
 Notarized Residence Verification 
CCSD’s Choice Application for the 2016-2017 School Year: Part A
Please print in pen or type your responses on-line. Submit a printed application to
each school to which you are applying, and contact the school with any questions.
Completed by School Date
Application Received
School Student Is Applying to Attend in 2016-2017
Name of School Student is enrolled in during the 2015-2016 School Year (if applicable)
Name of School Student is zoned to attend during the 2016-2017 School Year
Student Information
Last Name
First Name
Date of Birth
Gender ☐ Male
Middle Name
☐ Female
Street Address
Grade for the 2016-2017 School Year
Apartment/Unit #/Subdivision
City
State
Mailing Address (if different from above)
Zip code
Apartment/Unit #/Subdivision
City
State
Zip code
Parent/Guardian Information
Last Name
First Name
Relationship to Child
Street Address
Apartment/Unit #/Subdivision
City
State
Mailing Address (if different from above)
Zip code
Apartment/Unit #/Subdivision
City
State
Zip code
Home Phone
Personal Cell Phone
Personal Email Address
Employer
Work Phone
Work Email Address
Additional Parent/Guardian Information if applicable
Last Name
First Name
Relationship to Child
Mailing Address
Apartment/Unit #/Subdivision
City
State
Zip code
Home Phone
Personal Cell Phone
Personal Email Address
Employer
Work Phone
Work Email Address
RESIDENCY VERIFICATION/LEGAL RESIDENCE ASSESSMENT
VERIFICACION DE RESIDENCIA/AFIDAVIT DE RESIDENCIA LEGAL
STATE OF SOUTH CAROLINA/ESTADO DE CAROLINA DEL SUR)
COUNTY OF CHARLESTON/CONDADO DE CHARLESTON
)
AFFIDAVIT OF A STUDENT’S DOMICILE
DECLARACION JURADA DE RESIDENCIA DEL ESTUDIANTE
PENALTIES FOR PROVIDING FALSE INFORMATION/ CONSECUENCIAS POR PROVEER INFORMACION FALSA
This affidavit is made under penalty of perjury. I acknowledge that if I provide false information about where a student
lives, I can be prosecuted for perjury. Esta declaración jurada es hecha bajo pena de perjurio. Reconozco que si proveo
información falsa sobre donde el estudiante vive, puedo ser enjuiciado por perjurio.
In addition, S.C. Code 59-63-32 states (emphasis added):/ Además, los códigos de Carolina del Sur59-63-32 establecen (con
mayor énfasis) que:
(D) If it is found that information contained in the affidavit is false, the child must be removed from the school after
notice and an opportunity to appeal the removal pursuant to the appropriate district grievance policy. Si se descubre
que la información contenida en esta declaración jurada es falsa, el estudiante puede ser sacado de la escuela después
de un aviso y una oportunidad para apelar de conformidad con las reglas de quejas del distrito.
(E)
If it is found that a person willfully and knowingly has provided false information in the affidavit to enroll a child in a
school district for which the child is not eligible, the maker of the false affidavit is guilty of a misdemeanor and, upon
conviction, must be fined an amount not to exceed two hundred dollars or imprisoned for not more than 30 days
and must also be required to pay to the school district an amount equal to the cost to the district of educating the
child during the period of enrollment. Repayment does not include funds paid by the state.
Si se descubre que una persona al propósito y con conocimiento ha proveído información falsa en la declaración jurada
para matricular a su niño en un distrito escolar donde el niño no es elegible, el que hace la declaración jurada falsa puede
ser culpable de un delito, y al ser condenado, debe ser multado por una cantidad que no sobrepase los doscientos
dólares o encarcelado por no más de treinta días y también debe pagar al distrito una cantidad equivalente al costo que
ha invertido el distrito en educar al niño durante el tiempo que haya asistido. Reembolso de pago no incluye fondos
pagados por el estado.
**************************************************************************************************
1. I am ____________________________ PARENT/GUARDIAN and it is my signature that appears below.
(Parent Name)
Yo soy ____________________________ PADRE/GUARDIAN y la firma que aparece a continuación es mía.
(Nombre del Padre)
I am ____________________________ PARENT/GUARDIAN and it is my signature that appears below.
(Parent Name)
Yo soy ____________________________ PADRE/GUARDIAN y firma que aparece a continuación es mía.
(Nombre del Padre)
2. I make this affidavit based upon my own personal knowledge, and if called upon, I believe I would be deemed
competent to testify to the facts and beliefs set forth in this affidavit./ Hago esta declaración jurada basada en mi
conocimiento personal, y si soy llamado, considero que estoy en la capacidad de testificar sobre los hechos y mi opinión
presentados en esta declaración jurada.
3. I am aware of the penalties to myself and to the student for providing false information in this affidavit./ Tengo
conocimiento sobre las consecuencias hacia mi persona y al estudiante por proveer información falsa en esta declaración
jurada.
4. I am an adult responsible for the care and well being of the following student(s)/ Soy un adulto responsable por
el cuidado y el bienestar del/de los siguiente(s) estudiante(s):
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Note: This form will NOT be accepted if it is altered from its original content and/or format.
5. As of the date I have signed this affidavit that student for whom I am responsible actually lives at the
following address/ En la fecha en que firmo esta declaración jurada para el estudiante por el cual soy responsable,
actualmente vive en la dirección siguiente: _______________________________________________________________
6. Under penalty of perjury, I certify that, as primary caregiver of my applicant child:/ Bajo pena de perjurio, certifico que
soy, el encargado principal de mi niño que está aplicando:
(a) the residence which is the subject of this application is my legal residence and my domicile, the place where I and the
student actually live at the time of this application and that I do not claim to be a legal resident of a jurisdiction other
than Charleston County, South Carolina for any other purposes; and/ la residencia la cual es el asunto de esta aplicación
es mi residencia legal y mi domicilio, el lugar donde el estudiante y yo vivimos actualmente cuando lleno esta
aplicación y que no me hago pasar por un residente legal de una jurisdicción otra que no sea el Distrito Escolar de
Charleston en Carolina del Sur por cualquier otro propósito; y
(b) that neither I nor any other member of my household (that is: the owner-occupant’s or lessor-occupant’s spouse,
except when that spouse is legally separated from the owner/lessor occupant and any child of the owner/lessoroccupant claimed or eligible to be claimed as a dependent on the owner/lessor-occupant’s federal income tax return) is
residing in or occupying any other residence which I, or any member of my immediate family, has qualified for legal
residency./ que ni yo ni otro miembro de mi casa (que sea; el dueño-ocupante ó el esposo o esposa del arrendadorocupante, excepto cuando el esposo o la esposa está legalmente separado/a del arrendador-ocupante y cualquier niño
del dueño/arrendador –ocupante reclamado o elegible para ser reclamado como un dependiente en los ingresos
federales de los impuestos del dueño/arrendador-ocupante) está residiendo u ocupando cualquier otra residencia en la
cual yo o cualquier miembro de mi familia inmediata, ha calificado para residencia legal.
7. I acknowledge that if a challenge is made to the truthfulness of information I provide that additional information may
be required of me./ Reconozco que si cuestionan la veracidad de esta información que proveo, se me pedirá que provea
información adicional.
8. Further, affiant sayeth not,/ Por último, el declarante no tiene nada más que decir,
______________________________________
____________________________________
Signature of affiant/Firma del declarante
Printed name of affiant/ Nombre del declarante escrito en letra imprenta
______________________________________
____________________________________
Signature of affiant/Firma del declarante
Printed name of affiant/ Nombre del declarante escrito en letra imprenta
SWORN to and subscribed before me this _________ day of _____________________, 20______
_________________________________________
Notary Public for South Carolina
My commission expires: ____________________
HEAD OF HOUSEHOLD OTHER THAN PARENT/GUARDIAN/REPRESENTATE DEL HOGAR APARTE DEL PADRE/GUARDIAN
I am the head of household/lessor of/ Yo soy el representate del hogar/arrendador de __________________________ and/y
(Address/Dirección)
Name(s) of Students/Nombre(s) del (de los) estudiante(s)
reside with me. Attached is a copy of our lease or property tax bill. Also, attached is a copy of our documents from Category
B and Category C. /viven conmigo. Adjuntada es una copia de nuestro contracto o cuenta de propiedad. También, adjuntada es
una copia de nuestros documentos de Categoría B y Categoría C.
________________________________________________________________________
Print Name and Sign/Nombre imprenta y firma
________________________________________________________________________
Relationship/Relación
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OAD/July2012
Note: This form will NOT be accepted if it is altered from its original content and/or format.