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.
* Required
Summer Academy 2018
Summer Academy takes place Monday-Thursday 9:00 AM - 1:00 PM. Students must be entering grades 9-12.
I'm interested in my child attending Summer Academy 2018
*
Choose
Yes
No
School Year Program (Sept 2017-June 2018)
The Hilltop Scholars High School after-school program takes place Monday-Thursday starting September 2017. 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
*
Choose
Yes
No
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 2017-2018 school year
*
Choose
9th grade
10th grade
11th grade
12th grade
Your student's race
*
Your answer
Is your student on free or reduced lunch?
*
Choose
Yes
No
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?
Choose
Yes
No
Unsure
Has your student attended programs with Peace Community Center in the past?
Choose
Yes
No
Do you have other children that are in Peace Community Center programs?
Choose
Yes
No
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 Rosie Ayala at (253) 383-0702 or
rosie@peacecommunitycenter.org
.
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