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Hilltop Scholars High School Interest Form
The Hilltop Scholars High School program is available for 9th-12th grade students attending Tacoma high schools. Please complete one form per child.
Summer Academy 2016 (July 18-28)
Summer Academy takes place Monday-Thursday 9:00 AM - 1:00 PM from July 18th through July 28th and is located at Peace Community Center. Students must be entering grades 9-12.
I'm interested in my child attending Summer Academy 2016
School Year Program (Sept 2016-June 2017)
The Hilltop Scholars High School after-school program takes place Monday-Thursday starting September 7, 2016. The after-school program runs from 2:30 PM - 6:00 PM at Peace Community Center. Students also take part in 1:1 Academic Coaching to get individualized support to be successful in school.
I'm interested in my child attending the School Year Program
Please tell us more about your student and your family!
Your student's first and last legal name
Your answer
Student's address
Your answer
Your student's grade for the 2016-2017 school year
Your student's race
Your answer
Is your student on free or reduced lunch?
Please tell us your student's current school
Your answer
Parent/Guardian first and last name
Your answer
Relationship to student
Your answer
Primary phone number
Your answer
Email address
Your answer
Alternate phone number
Your answer
Will your student be in the first generation of your family to go to college?
Has your student attended programs with Peace Community Center in the past?
Do you have other children that are in Peace Community Center programs?
If yes, please tell us their names and grade level
Your answer
Additional Required Information
In considering the student for participation in Hilltop Scholars, staff will review their high school transcript. Tacoma Public Schools requires that the parent or guardian sign a Consent Form to release the student records. The required form is available at Peace Community Center or online at our website.
Thank you for your interest in Hilltop Scholars High School!
Program staff will follow up with you about that status of your child's participation in Hilltop Scholars. If you have any questions about Hilltop Scholars or this form, please contact Arlicia Etienne at (253) 383-0702 or
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