Dillard Academy Lottery & Student Enrollment

Account Creation Progress:

Important Please remember to select a password that will secure personal information disclosed with your account.

Step #1
Fill out the information below completely:

Please ensure that you select the correct residency status. We will confirm the status.
The email address provided on this application will be used for lottery and enrollment communication. Be sure to also check your spam folder.

Step #2
Select the 'Create Account' button.

Parent/Guardian Information:

Last Name:

First Name:

Are you a resident of North Carolina?

Yes No

Address: ^{(physical address required)}

Address Line 1:

Address Line 2:

City:

State :

Zip Code: ^{(postal code)}

Country :

Telephone: ^{(###-###-####)}

^Home:

^Work:

^Cell:

^Fax:

Updates via Text Message?

Yes No

Email Address:

Password:

Confirm:

Dillard Academy Charter School
504 W. Elm Street
Goldsboro, NC 27530
Phone: (919) 581-0128

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