Interview Request 2019-2020

Applying for the 2019-2020 year?

Yes
No

Parent first name:

Parent last name:

Parent Email:

Phone Number:

Address:

Are you currently a resident of Hillsborough County Florida?

Yes
No

City:

State:

Zip:

Child first name:

Child last name:

Child Date of Birth:

Gender

M
F

Does this student have a sibling that is currently attending, or applying to Horizon Charter School of Tampa?

Yes
No

If Yes, enter student's name(s):

Has this child ever attended a Hillsborough County school?

Yes
No

Current school:

Grade student will be in for 2019-2020 year:

If applying for Kindergarten, will your child be 5 as of 9/1/19?

Yes
No
N/A

To your knowledge, is your child part of any special programs?

IEP
504
Gifted
None

If Other:

Do you have any questions or additional information you would like us to know about your child?

Email:

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