Hatikvah International Academy Charter School Application Form for 2019-2020
You are about to take the first step in ensuring a high-quality education for your child in a warm and friendly environment. You will be notified, by the email address that you provide, of the date, time and place of the lottery. Students who are not selected in the initial lottery for an open kindergarten seat or for open seats in higher grades will be placed on a waiting list.

Students on the waiting list are enrolled throughout the year as places become available.

Please note: Boxes in the form expand as words are added. The submission deadline for this application is March 20, 2019.

Need help with this? Call Jurgita at 732-254-8300.

Last name of student *
Your answer
First name of student *
Your answer
First and Last Name of Parent/Guardian *
Your answer
Street Address *
Your answer
Apartment #
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Email Address of Parent/Guardian *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Home School District *
Your answer
Gender of Child *
Your answer
Child's Birth date mm/dd/year *
Your answer
Other children in household: Please write the names of each child living at home; the child's birth date; grade in September 2019, and yes or no to indicate whether or not the child is also applying to HIACS. Example: John Doe, 8/12/2003, 4th grade, No, not applying to HIACS. Note that we are asking for the grades of each child in September of 2019. *
Your answer
Which grade will your child be entering in September 2019? Remember, we are asking about 9/2019---if you answer for a different month or year, your application will be invalid and discarded. Also, Hatikvah's cut-off for kindergarten is age 5 by 10/31/19. If your resident district's cut-off is earlier than this, you will not be able to enroll this child at Hatikvah until the following school year. If you apply and your district has an earlier cut-off than Hatikvah's, your application will be discarded as invalid. *
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