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11/15/2016 Start your child on the path to COLLEGE! Do you... - KIPP Philadelphia Schools https://www.facebook.com/139353806642/posts/10153832425856643 1/2 Create Ad SPONSORED English (US) · Español · Português (Brasil) · Français (France) · Deutsch Privacy · Terms · Advertising · · Cookies · More Facebook © 2016 Get it only on Verizon. verizonwireless.com Pixel, a phone by Google, on the next gen network. NORDSTROM Shoes shop.nordstrom.com All the latest styles by the brands you love. Free shipping. Free returns. SHOP NOW Ad Choices KIPP Philadelphia Schools Start your child on the path to COLLEGE! Do you or someone you know want to send your kids to a KIPP Philadelphia school in Fall 2018? Fill out an interest form! http://svy.mk/2cCOFTw Published by Salma Khan · September 19 · KIPP Parkside Charter School - Interest Form Fall 2018 Thank you for your interest in supporting KIPP Philadelphia Schools with our new charter school application for KIPP Parkside Charter School! By filling out this interest form, you're playing an important part to help us increase the number of… SURVEYMONKEY.COM Sign Up 17,592 people reached Comment Share View Results Organic Paid 202 Marsha Baldwin, Miguel Contreras and 200 others Chronological 79 shares 22 Comments Nina Breeden DeAnna Perry Like · Reply · Message · September 20 at 6:10pm Aunt Plumpy Williams Like · Reply · Message · September 21 at 6:52pm Sheliah Keller Shawna Pettis LoveLondyn Raiquel Ingersoll Like · Reply · Message · September 27 at 2:53pm Sierra Pleasant Janaya Brown Like · Reply · Message · 1 · September 27 at 3:15pm 1 Reply Aracelis Santos Stephanie Danielle Garcia Like · Reply · Message · September 27 at 7:07pm Mikel Rodgers Candy Rodgers Like · Reply · Message · September 27 at 9:13pm Rosetta Burke My son goes there Unlike · Reply · Message · 2 · September 28 at 11:28am Tawanda Hemphill Devona Helena R Like · Reply · Message · September 28 at 4:49pm Tawanda Hemphill Iso Quis Like · Reply · Message · September 28 at 4:49pm Bohena Applebum Kavonda Like · Reply · Message · September 28 at 11:21pm Aisha Glover Brandy Scott Like · Reply · Message · 1 · September 29 at 12:33pm Like Chat (Off) Salma Home 1 Search Facebook

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Page 1: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know

11/15/2016 Start your child on the path to COLLEGE! Do you... - KIPP Philadelphia Schools

https://www.facebook.com/139353806642/posts/10153832425856643 1/2

 

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Facebook © 2016

Get it only on Verizon.verizonwireless.comPixel, a phone by Google, on the next gen network.

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KIPP Philadelphia Schools

Start your child on the path to COLLEGE! Do you or someone you knowwant to send your kids to a KIPP Philadelphia school in Fall 2018? Fill out aninterest form! http://svy.mk/2cCOFTw

Published by Salma Khan · September 19 ·

KIPP Parkside Charter School - Interest Form Fall 2018Thank you for your interest in supporting KIPP Philadelphia Schools with our newcharter school application for KIPP Parkside Charter School! By filling out thisinterest form, you're playing an important part to help us increase the number of…

SURVEYMONKEY.COM Sign Up

17,592 people reached

  Comment   Share

View ResultsOrganic Paid

202Marsha Baldwin, Miguel Contreras and 200 others Chronological

79 shares 22 Comments

Nina Breeden DeAnna PerryLike · Reply · Message · September 20 at 6:10pm

Aunt Plumpy Williams

Like · Reply · Message · September 21 at 6:52pm

Sheliah Keller Shawna Pettis LoveLondyn Raiquel IngersollLike · Reply · Message · September 27 at 2:53pm

Sierra Pleasant Janaya BrownLike · Reply · Message · 1 · September 27 at 3:15pm

1 Reply

Aracelis Santos Stephanie Danielle GarciaLike · Reply · Message · September 27 at 7:07pm

Mikel Rodgers Candy RodgersLike · Reply · Message · September 27 at 9:13pm

Rosetta Burke My son goes thereUnlike · Reply · Message · 2 · September 28 at 11:28am

Tawanda Hemphill Devona Helena RLike · Reply · Message · September 28 at 4:49pm

Tawanda Hemphill Iso QuisLike · Reply · Message · September 28 at 4:49pm

Bohena Applebum KavondaLike · Reply · Message · September 28 at 11:21pm

Aisha Glover Brandy ScottLike · Reply · Message · 1 · September 29 at 12:33pm

Like

Chat (Off)

Salma Home 1Search Facebook

Page 2: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know

11/15/2016 Start your child on the path to COLLEGE! Do you... - KIPP Philadelphia Schools

https://www.facebook.com/139353806642/posts/10153832425856643 2/2

Aisha Glover Wahkia JacksonLike · Reply · Message · September 29 at 12:34pm

Aisha Glover Shanice DawsonLike · Reply · Message · September 29 at 12:34pm

Shanice Dawson I signed him up already n July. He she be n for next yearRite??Like · Reply · Message · 1 · September 29 at 4:50pm

1 Reply

Shanice Dawson Aisha Glover??Like · Reply · Message · September 29 at 4:50pm

Sheirce White Maidem DcLike · Reply · Message · September 29 at 7:37pm

Aunt Plumpy Williams

Like · Reply · Message · September 29 at 9:37pm

Stephanie Linton That's my grandson, now in the 6 grade. Kipp is awesomeUnlike · Reply · Message · 1 · September 30 at 1:32am

Carmella Cowen Jessica BellLike · Reply · Message · 1 · September 30 at 2:19pm

Carmella Cowen Candace BaileyLike · Reply · Message · September 30 at 2:19pm

Arletha Rifa Glee Bria SmithLike · Reply · Message · October 3 at 9:30am

Tamyka Jones Kali LynetteLike · Reply · Message · October 4 at 1:11am

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Page 3: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know

11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know want to send your kids to a KIPP Philade…

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kippphilly Start your child on the path to COLLEGE! Do you or someone you know want to send your kids to a KIPPPhiladelphia school in Fall 2018? Fill out an interest form! http://svy.mk/2cCOFTw

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Page 4: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know

11/15/2016 Exciting news from KIPP Philadelphia Schools! - Salma Khan

https://outlook.office.com/owa/?viewmodel=ReadMessageItem&ItemID=AAMkADUyZjIyNjZhLTRhNzAtNGNhMy1hODRjLTc2NDNkMjdmMzU4YwBGAAAA… 1/5

Exciting news from KIPP Philadelphia Schools!

Salma Khan

Tue 9/27/2016 10:57 AM

Sent Items

To:Salma Khan <[email protected]>;

Page 5: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know

11/15/2016 Exciting news from KIPP Philadelphia Schools! - Salma Khan

https://outlook.office.com/owa/?viewmodel=ReadMessageItem&ItemID=AAMkADUyZjIyNjZhLTRhNzAtNGNhMy1hODRjLTc2NDNkMjdmMzU4YwBGAAAA… 4/5

Dear KIPP Family: We hope the school year is off to a great start for your family! We are reaching out to share exci�ng news – we will be submi�ng a charter applica�on to open two new schools in theWest Parkside neighborhood! This applica�on for KIPP Parkside Charter School represents up to two new schools: oneelementary school and one middle school. Our plan calls to open both of these schools in the West Parkside neighborhood(5070 Parkside Ave., 19139), with the elementary school opening in Fall 2018 and the middle school opening in Fall 2019. As you might know, we have been trying to open more schools in Philadelphia since 2010. We were able to get four newschools approved over the last two years, but there are thousands of children that are trying to enroll at a great school. Animportant part of our charter applica�on is showing strong community support for the proposed school. We would like toask for your feedback and help to show strong community support to allow us to open new KIPP schools in Philadelphia: 

>;

Page 6: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know

11/15/2016 Exciting news from KIPP Philadelphia Schools! - Salma Khan

https://outlook.office.com/owa/?viewmodel=ReadMessageItem&ItemID=AAMkADUyZjIyNjZhLTRhNzAtNGNhMy1hODRjLTc2NDNkMjdmMzU4YwBGAAAA… 5/5

An important part of our charter applica�on is showing strong community support for the proposed school (KIPP ParksideCharter School). You can help us demonstrate strong support in two ways: 

1.       Fill out a non‐binding interest form for KIPP Parkside Charter School – this is the school we are trying to open inFall 2018 (see below for the link)Please note: this form is for families that are interes�ng in enrolling their child(ren) at KIPP Parkside Charter School ifit is approved to open, and:

·         Have one or more children that aren’t yet school age (3 to 5 years old); or·         Have a child enrolled at a non‐KIPP school between the grades of K‐6

 2.       Share the link with your friends and family that have children between the ages of 3 and 12

If you do not have a child that fits into one of those two categories, no problem! You can also help us showcommunity support by sharing the link to the interest form to your friends and family! Word of mouth is the mostpowerful tool – and there’s no one that can share their experience with KIPP be�er than a KIPP family.

 New KIPP School Interest Form Informa�on

·         Click here for the form: h�ps://www.surveymonkey.com/r/57G6TM7·         Deadline to fill out form: October 31, 2016·         Instruc�ons: Please fill out this form if you are interested in enrolling your child (or children) at KIPP Parkside

Charter School to open in Fall 2018. We will use this informa�on to gauge the level of interest in the community.Please remember, because the school has not yet been approved to open by the School Reform Commission, thisform is not an official enrollment form – if we are approved to open a new school, your family will be contactedimmediately to submit an official enrollment form.

 For more informa�on or if you have any ques�ons, please email me at [email protected] or call (267) 315‐0920. We hope you consider joining us in our efforts to open more high‐quality schools for Philadelphia’s children. Thank you foryour con�nued support of KIPP Philadelphia, and more importantly, commitment to your child’s educa�on! Sincerely,Salma  Salma KhanDirector of External Affairs | KIPP Philadelphia Schools5900 Bal�more Avenue, 2nd Floor, Philadelphia, PA  19143c: 267‐315‐0920  o: 215‐294‐8596  f: 215‐252‐[email protected] | www.kippphiladelphia.org  KIPP Philadelphia Schools is always looking for talented educators to join our Team & Family. To view our careeropportuni�es, click here. To refer a great teacher, click here. Follow us on:

    Work hard. Be nice. Find a way. 

Page 7: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know

11/15/2016 RE: Exciting news from KIPP Philadelphia Schools!

https://outlook.office.com/owa/projection.aspx 1/2

Hello everyone, This is a friendly reminder that the deadline to fill out a school interest form for your child for KIPP Parkside CharterSchool is October 31, 2016. We are specifically looking for families with children between the ages of 3‐5 years oldthat would be interested in enrolling their child in the first year of the school (Fall 2018) if we are approved to open. ***Click here for the form: h�ps://www.surveymonkey.com/r/CGN3JPW Please fill out this form if you are interested in enrolling one or more of your children at one or more of our proposednew schools we are trying to open in Fall 2018. We will use this informa�on to gauge the level of interest in thecommunity. Please remember, this form is not an enrollment form – if we are approved to open a new school, yourfamily will be contacted to submit an official enrollment form. If you know anyone that may be interested, please feelfree to forward this email! Thank you! From: Salma Khan  Sent: Tuesday, September 27, 2016 10:57 AM To: Salma Khan <[email protected]> Subject: Exci�ng news from KIPP Philadelphia Schools! Dear KIPP Family: We hope the school year is off to a great start for your family! We are reaching out to share exci�ng news – we will be submi�ng a charter applica�on to open two new schools inthe West Parkside neighborhood! This applica�on for KIPP Parkside Charter School represents up to two newschools: one elementary school and one middle school. Our plan calls to open both of these schools in the WestParkside neighborhood (5070 Parkside Ave., 19139), with the elementary school opening in Fall 2018 and the middleschool opening in Fall 2019. As you might know, we have been trying to open more schools in Philadelphia since 2010. We were able to get fournew schools approved over the last two years, but there are thousands of children that are trying to enroll at a greatschool. An important part of our charter applica�on is showing strong community support for the proposed school.We would like to ask for your feedback and help to show strong community support to allow us to open new KIPPschools in Philadelphia: An important part of our charter applica�on is showing strong community support for the proposed school (KIPPParkside Charter School). You can help us demonstrate strong support in two ways: 

RE: Exciting news from KIPP Philadelphia Schools!

 

  Reply all |

Sent Items

Salma Khan Fri 10/21, 3:24 PM

Salma Khan; @gmail.com';

Reply all  | Delete Junk  |

Page 8: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know

11/15/2016 RE: Exciting news from KIPP Philadelphia Schools!

https://outlook.office.com/owa/projection.aspx 2/2

1.       Fill out a non‐binding interest form for KIPP Parkside Charter School – this is the school we are trying toopen in Fall 2018 (see below for the link)Please note: this form is for families that are interes�ng in enrolling their child(ren) at KIPP Parkside CharterSchool if it is approved to open, and:

·         Have one or more children that aren’t yet school age (3 to 5 years old); or·         Have a child enrolled at a non‐KIPP school between the grades of K‐6

 2.       Share the link with your friends and family that have children between the ages of 3 and 12

If you do not have a child that fits into one of those two categories, no problem! You can also help us showcommunity support by sharing the link to the interest form to your friends and family! Word of mouth is themost powerful tool – and there’s no one that can share their experience with KIPP be�er than a KIPP family.

 New KIPP School Interest Form Informa�on

·         Click here for the form: h�ps://www.surveymonkey.com/r/57G6TM7·         Deadline to fill out form: October 31, 2016·         Instruc�ons: Please fill out this form if you are interested in enrolling your child (or children) at KIPP Parkside

Charter School to open in Fall 2018. We will use this informa�on to gauge the level of interest in thecommunity. Please remember, because the school has not yet been approved to open by the School ReformCommission, this form is not an official enrollment form – if we are approved to open a new school, yourfamily will be contacted immediately to submit an official enrollment form.

 For more informa�on or if you have any ques�ons, please email me at [email protected] or call (267)315‐0920. We hope you consider joining us in our efforts to open more high‐quality schools for Philadelphia’s children. Thankyou for your con�nued support of KIPP Philadelphia, and more importantly, commitment to your child’s educa�on! Sincerely,Salma  Salma KhanDirector of External Affairs | KIPP Philadelphia Schools5900 Bal�more Avenue, 2nd Floor, Philadelphia, PA  19143c: 267‐315‐0920  o: 215‐294‐8596  f: 215‐252‐[email protected] | www.kippphiladelphia.org  KIPP Philadelphia Schools is always looking for talented educators to join our Team & Family. To view our careeropportuni�es, click here. To refer a great teacher, click here. Follow us on:

    Work hard. Be nice. Find a way. 

Reply all  | Delete Junk  |

Page 9: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know

Thank you for your interest in supporting KIPP Philadelphia Schools with our new charter schoolapplication for KIPP Parkside Charter School! By filling out this interest form, you're playing animportant part to help us increase the number of kids attending high-quality public schools inPhiladelphia. If approved, KIPP Parkside Charter School would be located at 5070 Parkside Ave.,Philadelphia, PA 19131. We are proposing to serve 860 students across grades K-8.

We are collecting information from parents that are interested in sending their child to KIPPParkside Charter School in Fall 2018. These responses are an important part of our applications todemonstrate community support and demand for the KIPP Parkside Charter School application.They also help us gauge the level of interest in the community for a new KIPP Philadelphia school.Please note: this interest form is non-binding and is not an enrollment application.

Again, please remember, this form is not an official enrollment form – if we are approved to openKIPP Parkside Charter School, your family will be contacted to submit an official enrollment form.

Please remember to:

1. Answer all questions completely and accurately.2. Select the grade level your student will be entering in Fall 2018.3. Include as many phone numbers as possible.

Please click NEXT to begin the form.

KIPP Parkside Charter School - Interest Form 2018-19

Please remember to:

Fill out one survey per studentSpell the name of the student correctlyProvide the legal FIRST name and LAST nameDo not type nicknames (i.e. type "Michael" not "Mike")

KIPP Parkside Charter School - Interest Form 2018-19

Page 10: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know

Answer ALL questions

First Name

Last Name

What is the student's legal first and last name?*

Date of Birth:

MM

/

DD

/

YYYY

What is the student's date of birth?*

What is the student's gender?*

Female

Male

Address:

Apartment:

City/Town:

State: -- select state --

ZIP:

What is the student's home address?

No P.O. BoxesMust be a valid Philadelphia addressPlease ensure the address and zip-code information is accurate

Example:4709 Pine StreetApt. 3PhiladelphiaPA19143

*

Page 11: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know

What grade will the student be in Fall 2018 (SY 2018-19)?*

K (currently 3 or 4 years old)

1st grade (currently 4 years old)

2nd grade (currently in Kindergarten)

3rd grade (currently in 1st grade)

4th grade (currently in 2nd grade)

5th grade (currently in 3rd grade)

6th grade (currently in 4th grade)

7th grade (currently in 5th grade)

8th grade (currently in 6th grade)

As mentioned at the beginning of the survey, we are collecting information from parents areinterested in sending their child to KIPP Parkside Charter School in Fall 2018. These responses arean important part of our applications to demonstrate community support and demand for the KIPPParkside Charter School application.

If approved, we intend to enroll students at KIPP Parkside Charter School in Kindergarten and 1stgrade in Fall 2018, and grades K, 1, 2, and 5 in Fall 2019.

KIPP Parkside Charter School - Interest Form 2018-19

Are you interested in enrolling your child at KIPP Parkside Charter School? Again, this form indicates yourinterest, but is non-binding, and does not commit you to enroll your student at any KIPP school.*

Yes

No

KIPP Parkside Charter School - Interest Form 2018-19

Page 12: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know

Please remember to:*Spell the name of one parent or legal guardian correctly.*Type the full FIRST and LAST name of one parent or legal guardian.*NOTE: This is the person we will contact regarding this interest form.

Name:

Address:

Address 2:

City/Town:

State: -- select state --

ZIP:

Please provide contact information for one parent or legal guardian of the student.*

Please provide the parent/guardian's e-mail address:*

Home Phone:

Cell Phone:

Work Phone:

Other Phone:

Please provide the parent/guardian's phone numbers (### - ### - ####):*

Other (please specify)

How is the person listed above related to the student?*

Page 13: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know

What is the best way for us to contact you?*

Home Phone

Cell Phone

Work Phone

Email

Mail

Other (please specify)

How did you hear about us?

Family

Friend

Facebook

Mail

Online Search

Press

Teacher

TV

Website

This is the last page before submission.

*Please make sure that all information contained in this form is accurate and complete.

*Please press "PREVIOUS" below to change your answers to questions on prior screens.

*Please click "YES" below to SUBMIT your interest form. You will then be directed to a confirmationpage.

KIPP Parkside Charter School - Interest Form 2018-19

Page 14: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know

-------------------------------------------------------------------------------------------------------*

YES, I wish to SUBMIT this Interest Form.

NO, I do NOT wish to submit this Interest Form. (Note: This will end your session).

WARNING!

Your interest form has NOT been submitted.

If you wish to submit your interest form, please click "Previous" below and change your answerfrom "NO" to "YES".

If you do NOT wish to submit your interest form, please click the "Exit this Survey" link in the upperright of your screen.

KIPP Parkside Charter School - Interest Form 2018-19

*CONFIRMATION: Thank you for submitting a non-binding interest form for KIPP PhiladelphiaSchools!*

We will contact you if we open a new school in 2017-18. Again, this form is non-binding and is notan enrollment application. KIPP Philadelphia Schools will use this information to gauge the level ofinterest in the community for a new KIPP Philadelphia school to open in the 2017-18 school year. Ifwe are approved to open a new school, your family will be contacted to submit an officialenrollment form.

Sincerely,

KIPP Philadelphia Schools

KIPP Parkside Charter School - Interest Form 2018-19

Page 15: KIPP Parkside Charter School - Interest Form Fall 2018 · 11/15/2016 KIPP Philadelphia Schools on Instagram: “Start your child on the path to COLLEGE! Do you or someone you know