Form

2025-2026 Inquiry Form
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Thank you for your interest in KIPP Newark! Please complete the information below and our enrollment team will reach out with next steps.

Parent/Guardian Information

First name

Last name*

Adult's Last Name

Email*

Example: jsmith@gmail.com

Zip*

5-digit ZIP Code

Mobile phone number*

Example: 9737508326

Phone number

Example: 9737508326

Applicant Information

Student’s First Name*

Child's First Name

Student’s Last Name*

Child's Last Name

Current School Name

Grade Applying To*

How did you hear about us?*

Please specify if you chose Other:

School Year Applying To: *

By checking this box, I give KIPP permission to submit an application for my child for the school year chosen above, using the information I have provided.

I Agree

I consent to receiving text messages from KIPP Team and Family, Inc. for application and enrollment purposes.