HJISD 2nd Nine Weeks School Choice Form

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Please complete the form to make your school choice ONLY if you are making changes to their placement. Please fill out a separate form for each student. The last day to submit any changes of placement will be Friday, September 25th.

Email *

Student Last Name *

Student First Name *

Campus *

China Elementary

Sour Lake Elementary

Henderson Middle School

Hardin-Jefferson High School

Student Grade Level 20-21 *

Street Address *

City *

Zip Code *

Parent/Guardian Name *

Parent/Guardian Phone Number *

Please answer the following regarding regarding computer access at home. (Currently the district provides a Chromebook for all students in grades 6-12) *

We have computer access at home in addition to the device provided by the district for our students.

I am dependent on the Chromebook from HJISD.

I have the following internet capability at home for my student to access: *

High speed internet

Cell phone data plan

I have limited internet access for my student

I have no internet access for my student

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