Victoria Jackson Gray Adams Freedom and Democracy School

OUR VISION AND MISSION:
Victoria Jackson Gray Adams Freedom and Democracy School (NACA II) is a public charter school committed to
“preparing students to make a living and a life.” We want our students to “navigate the life journey effectively and with
integrity.” More specifically, NACA’s mission is to cultivate -- with regularity and predictability -- young people who
are proficient relative to academic achievement and intellectual skills; and who are advanced, constructive and healthy
relative to character development. Our consistent intent and commitment is to send into the world young people who are
prepared to excel, serve, and make the world a better place; and who, ultimately, become leaders in society. Our rigorous,
innovative, unique, “Freedom and Democracy (F&D) Curriculum” is a pivotal part of NACA II. It involves active, interlocking partnerships between parents, students, teachers, administrators, civic structures, social leaders, business leaders, and political leaders. Our constant guiding goal involves launching into the world young people who are equipped to
make a living, empowered to make a life; and positioned to participate fully in freedom and democracy.
STUDENT INFORMATION
Applicant’s Last
First Name
Middle Name
Male
Date of Birth (month/day/year)
Female
Gender
Address
Apt. #
Home Phone Number
Ancestry
City
Primary Language
Zip Code
BCPSS Pupil # (if applicable)
 6th  7th 8th 9th 10th 11th 12th
Current School Name and Number
Grade entering for the 2015-16 school year
PARENT/GUARDIAN INFORMATION
Yes
Parent/Guardian’s Name
Home Phone
Relation to student
E-Mail Address
Cell Phone
No
Lives with student
Work Phone
Ext.
Yes
Parent/Guardian’s Name
Home Phone
Relation to student
E-Mail Address
Cell Phone
Does a sibling currently attends NACA I or NACA II?
Lives with student
Work Phone
Yes
No
Ext.
No
If yes, give name of sibling
Application Completed By
Signature
Date
How Did Your Family Learn About NACA II?
Please check all that apply
At school:
________ teacher
________ guidance counselor
________ principal
________ someone else
Name of school: ______________________________________________________________
From a website or ad:
________ NACA Website
_________ MSDE Website _________ BCPSS Website
________ Banner/Bill Board
Flier I saw at or information I received from:
________ A neighborhood newsletter or rec center
________ Radio
________ Enoch Pratt Library
________ NACA’s Annual High Achievers Event
________ SEMAA (Morgan State’s Science, Engineering, Mathematics and Aeronautics Academy)
________ Word-of-Mouth (a relative, friend, co-worker, etc just told me about it)
________ I’ve applied before
________ I know someone who has applied
________ Other: (please describe)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Return your application to:
Victoria Jackson Gray Adams Freedom and Democracy School (NACA II)
2500 E. Northern Parkway
Baltimore, Maryland 21214
Phone: 443.642.2031/Fax: 410.444.4087
or
The Northwood-Appold Community Academy (NACA)
4417 Loch Raven Boulevard
Baltimore, Maryland 21218
Phone: 410.323.9546/Fax: 410.323.1836
E-mail: [email protected]
Website: www.nacacad.org