2024-2025 13.128 Programs of Emphasis Application
All fields must be completed for consideration.
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Student First Name *
Student Middle Name
Student Last Name *
SBHC Student ID number *
Grade in the 2024-2025 School Year *
Residence address *
City *
Zip Code *
Current School *
If Current School is OTHER:  Private School or Out of District, please give details here
Zoned School for 2024-2025 *
Requested School and Program for 2024-2025 *
Parent/Guardian First and Last Name *
Parent/Guardian Home Area Code and Telephone number
Parent/Guardian Work Area Code and Telephone number *
Parent/Guardian Cell Area Code and Telephone number *
Parent/Guardian Email Address *
I understand that if the transfer request is approved, I am responsible for providing transportation of my child to and from school.  I understand that failure to comply with these conditions, or falsification of any portion of the application, will result in the denial or revocation of my request.  I agree to abide by the policies of the Highlands County School District. I testify that all of the information on this form is true and accurate. *
Parent/Guardian Signature.  Please be aware that an electronic signature is as legally binding as a handwritten signature.  Type your full name below. *
Contact information:
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