Hope Collegiate Academy Application 2019-2020
The Hope Collegiate Academy is a school within Hope High School that is a partnership between the Hope Public School District and the University of Arkansas Hope-Texarkana. The Program is located on the U of A Hope campus. The Academy provides a three-year curriculum allowing students to complete both a high school diploma and an Associates degree simultaneously. Students must be entering the 10th grade in the 2019-20 school year to apply. For more information contact Mikki Curtis at 870.722.8133.
First name of student *
Your answer
Last name of student *
Your answer
Middle name of student
Your answer
Street address *
Your answer
City, State, Zip *
Your answer
PO Box if applicable
Your answer
Date of birth *
MM
/
DD
/
YYYY
Gender *
Ethnicity *
Required
School currently attending *
Your answer
Grade student will be entering in 2019 *
With whom does student live with? *
Parent/legal guardian full name *
Your answer
Parent/legal guardian phone number *
Your answer
Parent/legal guardian email (if applicable)
Your answer
Mark all activities student is involved in *
Required
College placement exams taken (If none is chosen contact the UAHT Testing Center at 870-722-8248 to schedule your test.) *
Required
By checking below, I give permission for my child's school district to release student disciplinary records, attendance record, and college placement scores to the HCPA admissions committee. *
Required
Thank you for applying.
Students fully accepted into the program will be required to be enrolled as a Hope Public School student. College placement scores must be submitted to Mikki Curtis. Email: mikki.curtis@uacch.edu Fax: 870-722-8591
Submit
Never submit passwords through Google Forms.
This form was created inside of University Of Arkansas Community College at Hope, Texarkana. Report Abuse - Terms of Service