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HILLSBOROUGH CHOICE OPTIONS
Magnet, School Choice, and Hardship
Elementary School Application
Application Period
July 6-13, 2015
Active Duty Military Families
School Year 2015-2016
W
elcome to the Hillsborough Choice Options application. Here you can select from the many options
offered to families in Hillsborough County. Please complete this application carefully and submit by the
appropriate application period deadline.
For Your Information
If the student is currently enrolled in a Hillsborough County Public School (HCPS):
• you should apply online
• and email a copy of your Active Duty military orders to [email protected].
• You will know immediately if your application was received because the online system will generate a
confirmation page for you to print and retain for your records.
Note:
• Completion of this application does not guarantee admission.
• If you are a HCPS employee and the parent/legal guardian, you should use the Education Connection Portal to
apply directly online.
If the student is not currently enrolled in a Hillsborough County Public School (HCPS):
• you must submit a paper application
• and include a copy of your Active Duty military orders.
• An email confirming the receipt of your application will be sent to the email address provided on the
application.
Note:
• Completion of this application does not guarantee admission.
• If you are a HCPS employee and the parent/legal guardian, you must include your Lawson number at the top of the
section for which you are applying.
Hillsborough County Public Schools’ adheres to the Florida State Constitution, Article IX, Section I,
and therefore, class sizes are restricted.
Directions
1.
A separate application must be completed for each child.
2.
Families must complete all information in Section I.
3.Complete:
Sections I and II for Magnet Schools and Programs.
Sections I and III for School Choice.
Sections I and IV for Hardship.
4.
All applications MUST be signed on page 1 by the child’s parent or legal guardian to be processed.
5.
Mail completed PAGES of this application to: Office of Student Planning & Placement, 901 E. Kennedy Blvd.,
Tampa, FL 33602.
Elementary Application
Active Duty Military Family
July 6 - 13, 2015
SECTION I: Personal Information
(Please Print)
Student’s Name
Last
Student Number (students new to HCPS do
not have a student number)
First
Gender:
F
M
Yes
No
M.I.
Date of Birth: (month/day/year)
Has the student previously attended a school in HCPS?
Ethnicity: Are you Hispanic or Latino?
Optional
Yes
No
Does your child have an IEP?
Yes
Daytime Phone:
Student’s Age:
Grade 2015-2016:
Race: (check all that apply) Optional
American Indian or Alaskan Native
Asian
Native Hawaiian or Pacific Islander
White
Black or African
American
If yes, for what services?
No
Home/Cell Phone:
Current School:
Email Address:
Residential Address:
City, State, Zip
Apt./Lot #
Remember to include apartment building or lot number.
Mailing Address:
City, State, Zip
Apt./Lot #
Remember to include apartment building or lot number.
Is a sibling applying for or attending the same school that is being requested?
Yes
No
If yes, please complete below and submit a separate application for each child requesting a school.
Sibling’s Name



School
Birth date : (month/day/year) or Student #
Current Grade
Siblings are defined as a brother, sister, half-brother, half-sister, stepbrother or stepsister, living in the same
household.
There is NO guarantee that placement will be approved for sibling.
A separate application must be completed for each child requesting a school.
This page is required. Please mail this page along with Section II and/or III.
“My signature below verifies that I declare, under penalty of perjury, pursuant to Section 92.525, Florida Statutes, that I have read this
application, and the information stated in this application is true and correct.”
Male Head of household (print): ________________________________ Female Head of household (print):_________________________
Male Head of household (signature): _____________________________
Female Head of household (signature):_______________________
Date: ____________
Date: ____________
Page 1 of 4
Student’s Name: ___________________________________________________
Last
First
M.I.
Are you Active Duty Military? Yes
No
Phone Number: _______________
Do you reside on MAFB? Yes
No
Military Members Name: ________________________________________________________________________________
Last
First
M.I.
SECTION II: Magnet Schools and Programs Grades K-5
July 6-13, 2015
Magnet Schools and Programs are schools with theme-based curricula offering innovative and rigorous academic instruction by
specially trained teachers in smaller learning communities. Transportation is provided to students within an identified area. Kindergarten
students must be accompanied by an older sibling who lives at the same address and attends the same school, to be eligible
for magnet transportation.
Magnet Programs for 2015-2016
Elementary Schools: Grades K-5
Directions: Make your selections by circling 1 for your first choice, 2 for your second choice, and 3 for your
third choice (selections 2 and 3 are optional).
Animal Sciences
Cahoon
1
2
3
Creative Science Centre
Lockhart
1
2
3
Environmental Studies
Muller
1
2
3
Gifted & Talent Development Academy
Lomax
1
2
3
International Baccalaureate(IB)/International Studies*
Riverhills*
*IB Candidate School
Program is assigned based on your
residential address.
1
2
3
Medical & Science Exploration
Dunbar
1
2
3
Muller
1
2
3
Shore
1
2
3
Lee
1
2
3
Visual/Performing/Communication Arts
World Studies & Technology
Note: Page 1 of this application must be submitted along with this page.
Failure to submit Page 1 will void your application.
Page 2 of 4
Student’s Name: ___________________________________________________
Last
First
M.I.
Are you Active Duty Military? Yes
No
Phone Number: _______________
Do you reside on MAFB? Yes
No
Military Members Name: ________________________________________________________________________________
Last
First
M.I.
July 6-13, 2015
SECTION III: School Choice (Elementary Schools K-5)
School Choice provides parents and legal guardians with children entering grades K-11 the opportunity to choose three non-magnet
schools or Career & Technical Education programs. Parents may choose from a list of schools with space available. Transportation
may be limited or not available in some areas.
You are allowed to choose up to 3 schools from the list below. Place a #1 in front your first choice, a #2 in front your second choice
and #3 in front your third choice (selections #2 and #3 are optional). Visit http://choice.mysdhc.org to check your transportation options.
Schools/Grades NOT listed below do not have space available and are not taking applications.
#
Elementary
Alafia Elementary
(Grades KG, 1, 3, and 5 only)
Alexander Elementary
(Grades KG, 1, 2, 3, and 5 only)
Region
#
Elementary
Region
5
Dickenson Elementary
(Grades KG, 2, and 5 only)
2
2
Doby Elementary
8
Anderson Elementary
1
Dover Elementary
(Grades KG, 1, 2, and 3 only)
6
Bailey Elementary
6
Edison Elementary
4
Bay Crest Elementary
2
Bellamy Elementary
(Grades KG, 1, 2, 3, and 5 only)
2
Boyette Springs Elementary
5
Foster Elementary
(Grades KG, 1, and 3 only)
7
5
Gibsonton Elementary
8
4
Graham Elementary
4
Brooker Elementary
(Grades KG and 1 only)
Broward Elementary
(Grades KG, 2, and 3 only)
Bryant Elementary
(Grades KG and 1 only)
Buckhorn Elementary
(Grade KG only)
Burney Elementary
(Grades KG, 3, and 5 only)
2
6
6
2
Cannella Elementary
Chiaramonte Elementary
(Grades KG, 1, 2, and 4 only)
Chiles Elementary
(Grades KG, 2, 3, and 5 only)
Cimino Elementary
(Grades KG and 5 only)
1
3
5
Citrus Park Elementary
2
Clair-Mel Elementary
5
Clark Elementary
(Grades KG, 1, and 5 only)
Colson Elementary
(Grades KG, 1, 2, and 3 only)
Cork Elementary
(Grades KG, 1, 2, 4, and 5 only)
Deer Park Elementary
3
7
6
2
Egypt Lake Elementary
(Grades KG, 3, and 5 only)
Essrig Elementary
Heritage Elementary
(Grades KG, 1, 2, 3, and 4 only)
Hunter's Green Elementary
(Grade KG only)
Kingswood Elementary
Lake Magdalene Elementary
(Grades KG, 1, and 3 only)
Lanier Elementary
(Grades KG, 1, 2, and 3 only)
Lopez Elementary
(Grades KG, 1, 3, 4, and 5 only)
Lowry Elementary
(Grade KG only)
Mango Elementary
(Grade KG only)
Maniscalco Elementary
(Grade KG only)
Metropolitan Ministries Partnership
Mintz Elementary
(Grades KG only)
Morgan Woods Elementary
(Grades KG, 1, 2, 3, and 4 only)
Nelson Elementary
(Grades KG, 1, 3, and 4 only)
4
3
3
3
8
4
1
7
2
7
3
1
#
Elementary
Region
Northwest Elementary
(Grades KG, 3, 4, and 5 only)
Palm River Elementary
(Grades, KG, 2, and 3 only)
Pinecrest Elementary
(Grades KG, 1, 2, 3, and 4 only)
Robinson Elementary
(Grades KG, 1, 4, and 5 only)
2
5
6
6
2
Schwarzkopf Elementary
Seffner Elementary
(Grades KG, 1, 2, and 3 only)
Seminole Elementary
(Grades KG, 4, and 5 only)
Shaw Elementary
(Grades KG, 1, 2, 4, and 5 only)
7
4
3
6
Springhead Elementary
Temple Terrace Elementary
(Grades KG, 1, and 2 only)
Thonotosassa Elementary
(Grades 1, 3, 4, and 5 only)
Town and Country Elementary
Trapnell Elementary
(Grades KG and 1 only)
Twin Lakes Elementary
(Grades KG, 1, 4, and 5 only)
West Shore Elementary
(Grades KG and 1 only)
3
7
2
6
4
1
2
Westchase Elementary
Witter Elementary
(Grades KG, 1, 3, and 5 only)
Woodbridge Elementary
(Grades KG, 1, 2, 3, and 5 only)
Yates Elementary
(Grades KG, 3 and 5 only)
3
2
7
5
2
6
Note: Page 1 of this application must be submitted along with this page.
Failure to submit Page 1 will void your application.
Page 3 of 4
Student’s Name: ___________________________________________________
Last
First
M.I.
Phone Number: _______________
Employee Name: ___________________________________________________
Last
First
M.I.
Lawson Number: ______________
SECTION IV: Choice Hardship for an Elementary School
July 6-13, 2015
Choice Hardship allows parents and legal guardians, with a documented hardship, an opportunity to submit a
request for a school that is capped/not available for School Choice. Applications are only reviewed for residents of
Hillsborough County. Note: Requests are not automatically approved. Choice Hardship is limited and only available under
extreme (documented) hardships. Parental preference is not a hardship. Transportation is not provided.
Directions: 1. Complete this section if you are requesting a Choice Hardship.
2. State below specific reasons why you are requesting a Choice Hardship. Attach a copy of your Active Duty military
orders and additional documentation, if needed.
3. All applications MUST be signed by the child’s parent or legal guardian to be processed.
4. Mail completed PAGES of this application to: Office of Student Planning & Placement, 901 E. Kennedy Blvd.,
Tampa, FL 33602.
Note: This Choice Hardship application is only for Hillsborough County residents. For information concerning an out of
county assignment, please visit our website at http://choice.mysdhc.org
Documentation of hardship must be submitted with this application.
Circle the hardship that best describes your need.
Extreme or profound hardship
Medical hardship
School requested: _________________________
School Board employee Lawson # _________
Grade requested: ________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Note: Page 1 of this application must be submitted along with this page.
Failure to submit Page 1 will void your application.
Page 4 of 4