Middle School Application Period: March 24

HILLSBOROUGH CHOICE OPTIONS
Magnet and School Choice Application
Middle School
Application Period:
July 6-13, 2015
School Year 2015-2016
W
elcome to the Hillsborough Choice Options application. Here you can select from the many options
offered to families residing 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 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 online.
If the student is not currently enrolled in a Hillsborough County Public School (HCPS):
• you must submit a paper application
• and an e-mail confirming the receipt of your application will be sent to the e-mail 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.
4.
All applications MUST be signed on page 2 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.
Remember.
..
Current stud
ents, please
apply onlin
e. Visit our
website at
http://choic
e.mysdhc.or
g
Page 1 of 4
Middle School Application
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 2 of 4
Student’s Name: ___________________________________________________
Last
First
M.I.
Phone Number: _______________
Employee Name: ___________________________________________________
Last
First
M.I.
Lawson Number: ______________
SECTION II: Magnet Schools and Programs Grades 6-8
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 all themes.
Magnet Programs for 2015-2016
You are allowed to choose up to 3 schools from the list below.
Middle Schools: Grades 6-8
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).
Boys Preparatory Academy (BPA)
Creative Science Centre - Upper Campus
Cultural Arts & Humanities (Grades 7 and 8 only)
(No Transportation Provided)
Environmental Studies
Franklin
Young
Rampello
Dowdell
1
1
1
1
2
2
2
2
3
3
3
3
Girls Preparatory Academy (GPA)
Ferrell
1
2
3
Medical Studies & Explorations
Sligh
1
2
3
Math/Science/Technology
Stewart
1
2
3
Middle Schools: Grades 6-8
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).
Boys Preparatory Academy (BPA)
Franklin
1
2
3
Creative Science Centre - Upper Campus
Young
1
2
3
Cultural Arts & Humanities (Grades 7 and 8 only)
(No Transportation Provided)
Rampello
1
2
3
Environmental Studies
Dowdell
1
2
3
Girls Preparatory Academy (GPA)
Ferrell
1
2
3
Medical Studies & Explorations
Sligh
1
2
3
Math/Science/Technology
Stewart
1
2
3
Note: Page 2 of this application must be submitted along with this page.
Failure to submit Page 2 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 III: School Choice (Middle Schools)
July 6-13, 2015
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 of your first choice, a #2 in front of your second choice and
#3 in front of your third choice. Selections #2 and #3 are optional.
To check your transportation options, visit our website at
http://www.sdhc.k12.fl.us/choice/schoice.asp
*These programs have specific entrance criteria. Please call 813-272-4692 for details.
#
Middle Schools
Adams Middle
(6th and 7th grade applicants only)
Region
4
#
Middle Schools
Greco Middle
(Pre-KAPS)*
Region
3
#
Middle Schools
Monroe Middle
Region
(Global Leadership Academy)
1
Benito Middle
3
Hill Middle
3
Mulrennan Middle
6
Buchanan Middle
3
Jennings Middle
7
Pierce Middle
2
3
Liberty Middle
3
Rodgers Middle
8
7
Madison Middle
1
Sligh Middle (non-magnet)
7
1
Smith Middle
2
Buchanan Middle
(Bio-Engineering Academy) *
(6th grade applicants only)
Burnett Middle
(6th and 7th grade applicants only)
Madison Middle
Davidsen Middle
2
Dowdell Middle (non-magnet)
5
Mann Middle
(6th and 7th grade applicants only)
7
Turkey Creek Middle
6
Eisenhower Middle
8
Marshall Middle
6
Van Buren Middle
7
Giunta Middle
5
(Robotics Engineering Academy)*
(6th grade applicants only)
7
Webb Middle
2
Memorial Middle
4
Greco Middle
(Pre-Engineering Academy)*
(6th grade applicants only)
3
(Aerospace Engineering Academy)*
(6th grade applicants only)
McLane Middle
Has your child been enrolled in HCPS consecutively for
2012-2013, 2013-2014, and 2014-2015?
If NO, and you have applied to a program that has specific entrance criteria*,
complete the TRANSCRIPT REQUEST FORM. This form may be found on
the application website. Upon receipt of the transcripts that you receive
from each non-HCPS school, mail the sealed transcripts along with this
application.
Note: Page 2 of this application must be submitted along with this page.
Failure to submit Page 2 will void your application.
STOP
Page 4 of 4