1. No category

HILLSBOROUGH CHOICE OPTIONS
Magnet and School Choice
Elementary School Application
Application Period
January 13 - February 11, 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.
Remember.
..
Current stud
ents, please
apply onlin
e. Visit our
website at
http://choic
e.mysdhc.or
g
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.,
Elementary Application
Active Duty Military Family
January 13 - February 11, 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
Is student receiving ESE Services?
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
Yes
No
Black or African
American
If yes, what services?
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?
Sibling’s Name


School
Yes
Birth date : (month/day/year) or Student #
No
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
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
Cultural Arts & Humanities
(No Transportation Provided)
Rampello K-5 
1
2
3
Environmental Studies
Muller
1
2
3
Gifted & Talent Development Academy
Lomax
1
2
3
1
2
3
Lincoln/MacFarlane/Riverhills*
International Baccalaureate(IB)/International Studies*
Program is assigned based on your
residential address.
*IB Candidate School
Roland Park K-5 
1
2
3
Dunbar
1
2
3
Muller
1
2
3
Shore
1
2
3
Lee
1
2
3
Open to ALL residential addresses.
Medical & Science Exploration
Visual/Performing/Communication Arts
World Studies & Technology
Rampello K-8 Applicants:
If your place of employment is a member of the Tampa Downtown Partnership, visit the school website at http://rampello.mysdhc.org for information about submitting proof of Downtown Partnership
membership.
Roland Park K-8 Applicants:
If your place of employment is a member of the Westshore Alliance, visit the school website at http://
rolandpark.mysdhc.org for information about submitting proof of Westshore Alliance membership.
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.
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
#
Elementary
#
Elementary
Alafia Elementary
(Grades KG, 1, 4, and 5 only)
Essrig Elementary
(Grades KG, 1, 3, 4, and 5 only)
Northwest Elementary
(Grades KG, 3, 4, and 5 only)
Anderson Elementary
(Grades KG, 1, 2, 4, and 5 only)
Folsom Elementary
Palm River Elementary
Apollo Beach Elementary
Foster Elementary
(Grades KG and 1 only)
Pinecrest Elementary
(Grades KG, 1, 2, 3, and 4 only)
Bailey Elementary
Gibsonton Elementary
Riverview Elementary
Bay Crest Elementary
(Grades KG, 1, 2, 3, and 5 only)
Graham Elementary
(Grades KG, 4, and 5 only)
Robinson Elementary
(Grades KG and 1 only)
Bellamy Elementary
(Grades KG, 1, 2, 3, and 5 only)
Hammond Elementary
(Grades KG, 1, 3, and 5 only)
Schwarzkopf Elementary
(Grades KG, 1, 2, 3, and 4 only)
Bevis Elementary
(KG only)
Heritage Elementary
(Grades KG, 1, 4, and 5 only)
Seffner Elementary
(Grades KG, 1, 2 and 4 only)
Bing Elementary
(Grades KG and 5 only)
Hunter's Green Elementary
Seminole Elementary
(Grades KG, 1, 2, 3, and 4 only)
Boyette Springs Elementary
Kenly Elementary
(Grades KG, 1, 2, 3, and 4 only)
Sessums Elementary
(KG only)
Brooker Elementary
Kingswood Elementary
Shaw Elementary
(Grades 2, 3, and 5 only)
Broward Elementary
(Grades KG, 2, and 3 only)
Knights Elementary
(KG only)
Springhead Elementary
(Grades KG, 1, 4, and 5 only)
Buckhorn Elementary
(KG only)
Lake Magdalene Elementary
Symmes Elementary
(KG only)
Burney Elementary
(Grades 2 and 3 only)
Lanier Elementary
(Grades KG, 1, 2, 3, and 4 only)
Temple Terrace Elementary
Cannella Elementary
Limona Elementary
(Grades KG and 1 only)
Thonotosassa Elementary
Carrollwood Elementary
(Grades KG and 5 only)
Lithia Springs Elementary
(Grades KG and 1 only)
Town and Country Elementary
Chiaramonte Elementary
(Grades KG, 1, 2, 4, and 5 only)
Lopez Elementary
(Grades KG, 1, 3, 4, and 5 only)
Trapnell Elementary
(KG only)
Chiles Elementary
(Grades KG, 1, and 2 only)
Lowry Elementary
USF/Patel Partnership Elementary
Cimino Elementary
Lutz Elementary
Walden Lake Elementary
(KG only)
Citrus Park Elementary
Mango Elementary
(KG only)
West Shore Elementary
(Grades KG and 3 only)
Clair-Mel Elementary
Maniscalco Elementary
Westchase Elementary
Clark Elementary
(KG only)
Mintz Elementary
(Grades KG, 1 and 3 only)
Wilson Elementary
(KG only)
Colson Elementary
(Grades KG, 1, 2, and 3 only)
Mitchell Elementary
(Grades KG and 1 only)
Witter Elementary
Cork Elementary
(Grades KG, 1, 2, 3, and 5 only)
Morgan Woods Elementary
(Grades KG, 1, 2, and 4 only)
Woodbridge Elementary
(Grades KG, 1, 2, and 3 only)
Doby Elementary
Nelson Elementary
(KG only)
Yates Elementary
(Grades KG and 3 only)
Dover Elementary
(Grades KG, 1, 2, and 3 only)
Note: Page 1 of this application must be submitted
along with this page. Failure to submit Page 1
Page 3 of 4
will void your application.
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
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 2 of this application must be submitted along with this page.
Failure to submit Page 2 will void your application.
Page 4 of 4