Hatikvah International Academy Charter School Application Form
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.
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 Birthdate mm/dd/year
Your answer
Other children in household: Please write the names of each child living at home; the child's birthdate; grade in September 2017, 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
Your answer
How did you hear about Hatikvah?
Your answer
In September 2017, my child will be entering:
Previous School or Nursery
Please list all pre-kindergarten/nursery schools; kindergarten, and elementary programs your child has attended (box will expand as you type).
Your answer
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