CHECK ONE ONLY Elementary Middle High Schoolthe school selected as Choice #1 and will be attending for the 2020-2021 school year. Sibling Name Date of Birth The applicant's sibling(s)

PBSD 1537 (Rev. 10/30/2019) ORIGINAL - Department of Choice Programs and School Choice

Deadlines: December 13, 2019 for Bak MSOA, The Conservatory School @ North Palm Beach, A.W. Dreyfoos Jr SOA, Boynton Beach High School Arts Programs, and West Boca Raton High School Performing Arts. Deadline of January 24, 2020 for all other schools. Incomplete or faxed applications will NOT be accepted.

Online Application available at www.mypbchoiceapp.com

Race (check at least one)

Read the information on Page 2 before completing application. ONE application per child may be submitted. For more information, call (561) 434-8755. Type or print legibly in blue or black ink and return completed application to: Department of Choice and Career Options, 3300 Forest Hill Blvd., C-124, West Palm Beach, FL 33406.

Gender

Home Phone No.

HOME ADDRESS MUST MATCH ADDRESS ON FILE AT SCHOOL or application will NOT be processed.

THE SCHOOL DISTRICT OF PALM BEACH COUNTY DEPARTMENT OF CHOICE AND CAREER OPTIONS Assigned SAC School

SAC #Choice Programs Application

School Year 2020-2021

Signature of Parent/Legal Guardian

Student Name (first, middle, last)

Birth Date (mm/dd/yy) Name of Parent(s)/Legal Guardian(s) Current School

Grade Applying For

Cell Phone No.

Elementary Middle High School

Student ID #

American Indian/Alaskan Native Asian/Pacific IslanderBlack/Non HispanicHispanic or Latino Multiracial White/Non Hispanic

OFFICE USE ONLY

Date

Current Grade

CHECK ONE ONLY

PREFERENCE ELIGIBILITY: Check all that apply to this applicant:

/ /F M

Ethnic Origin (check one)

NOT Hispanic or Latino

Parent/Legal Guardian E-mail Address

Page 1 of 9

Home Address City Zip Code

EMPLOYEE: Parent or legal guardian of this applicant is a full time employee at the school selected as Choice #1.

Parent/Legal Guardian Name

School Work Site

MILITARY: Parent or legal guardian of this applicant is a full time active duty service member. (Documentation required)

SIBLING: The applicant's sibling(s) is (are) currently attending the school selected as Choice #1 and will be attending for the 2020-2021 school year.

Sibling Name Date of Birth

The applicant's sibling(s)* is (are) applying (no preference) to the same school selected as applicant's Choice #1 for the 2020-2021 school year.

STRAND: The applicant participated in a similar program theme that is selected as Choice #1, in a lower grade level.

Program NameSchool attended

Date of BirthSibling Name


ACKNOWLEDGEMENT (Check each box) I have read (or had read to me), and had an opportunity to ask questions about the information provided in the 2020-2021 Choice booklet and the "Procedures Manual" for Choice programs, both of which are available online at: www.palmbeachschools.org/choiceprograms.

My signature verifies that I declare, under penalties of perjury, pursuant to Florida Statute, Section 92.525, that I have read this application, including all sections on Page 2, and all the information stated in this application is true and correct.

I understand that I must provide my child's IEP, ELL, or 504 plan prior to an audition to ensure the accommodations are provided.

I understand that if my child is not selected for the 2020-2021 school year, a new application must be submitted for the following school year.


Yes No* Are the siblings who are applying, (named above), a twin or multiple of the applicant?

http://www.mypbchoiceapp.com/site.php

https://www.palmbeachschools.org/choiceprograms/


DIRECTIONS - Current PBCSD students must include Student ID on the application. Students applying for kindergarten must be 5 years old by September 1, 2020. Indicate your first and second program choices by placing a "1" for your first preference and a "2" for your second preference in the columns marked "#". Only two program choices are permitted. Eligibility criteria for Choice programs are indicated in the 2020-2021 Choice booklet located at http://www.palmbeachschools.org/choiceprograms. Review the eligibility criteria prior to selection. Completion of this application does not guarantee admission. AUDITIONS - Bak MSOA, The Conservatory School @ North Palm Beach, A.W. Dreyfoos Jr. SOA, Boynton Beach High School Arts programs, and West Boca Raton Performing Arts program. In order to be eligible for the Choice lottery, the student must receive an eligible audition score for Bak Middle School of the Arts, The Conservatory School @ North Palm Beach, A.W. Dreyfoos Jr. School of the Arts, Boynton Beach High School Arts programs, and West Boca Raton Performing Arts program. Approved applicants will be notified via email and/or U.S. Mail of the audition procedures and/or time and date of student audition. Applicants who need special accommodations or translations during audition(s) should contact the Choice Coordinator at Bak MSOA, (561) 882-3801/(561) 882-3819, at Dreyfoos SOA (561) 802-6005, at Boynton Beach High School (561) 752-1200, at The Conservatory School @ North Palm Beach (561) 494-1844, or at West Boca Raton High School (561) 672-2932. AUDITION APPEALS - Parents/legal guardians who believe their child was not allowed an equitable opportunity to a Choice program during the audition or eligibility process as a result of a technical problem or inequity, may request an appeal within five (5) days of the audition. An application for an appeal of Choice program eligibility must be submitted to the Director of Choice and Career Options within five (5) school days of the audition. At the time of audition, parents are required to sign a statement acknowledging that they have five days to appeal and no appeal will be available after the five day window following a student's audition. To download the PBSD 2418 Choice Appeals Application, go to www2.palmbeachschools.org/ formssearch/pdf/2418.pdf. APPEAL OF INVOLUNTARY EXIT DECISIONS - Parents/legal guardians on behalf of the student may appeal an involuntary exit decision from a Choice school or program, a request for an appeal must be made in writing (PBSD 2418) by the parent/legal guardians within five (5) school days from the school's written notice of its decision to exit the student. Appeals must be submitted to the Director of Choice and Career Options at: 3300 Forest Hill Boulevard, C-124, West Palm Beach, FL 33406-5869 or fax 561-434-8843. DUPLICATE PROGRAMS - If the student is applying for a Choice program that is offered at his/her zoned school, the zoned school program must be listed as the first choice or the application will not be processed, with limited exceptions: All students may apply for first choice to the following full choice schools: Suncoast Community High School, A.W. Dreyfoos Jr. School of the Arts, Don Estridge High Tech MS, Bak Middle School of the Arts, Morikami Park ES, Northboro ES, Poinciana ES, SD Spady ES, and Village Academy. If a student is applying to a school that is currently at 95 percent capacity or above, students will be able to apply to another elementary, middle, or high school that offers the like program as their first choice. ELIGIBILITY - All applicants will be reviewed for residency and program eligibility. Students not currently enrolled in a PBCSD school or are enrolled in Home Education or a private school must submit transcripts/portfolio to applicant school(s) for determination of eligibility no later than February 3, 2020. Check the eligibility criteria as indicated on pages 6-7 in the 2020-2021 Choice booklet. MONTESSORI - Northboro Elementary and S.D.Spady Elementary accept applications for Pre-K students. Northboro Elementary and S.D. Spady Elementary Pre-K3, applicants must be 3 years old by September 1, 2020 and Pre-K4, applicants must be 4 years old by September 1, 2020. RESIDENCY - Parent/legal guardian and student must be full-time residents of Palm Beach County on date of submission. Falsification of information on this application could lead to ineligibility. Students not currently enrolled in a PBCSD school or are enrolled in Home Education or a private school must submit proof of residency in Palm Beach County, along with the completed application. TRANSPORTATION - Transportation is provided for K–12 Choice students in the form of bus stops within the Choice Transportation Zone for each school. Transportation is not provided for students who are assigned to Pre– K3 and Pre–K4 programs. Bus stops to Choice schools may be limited and located significantly farther from the student's home than transportation to the student's zoned school. Bus stops for Choice schools may not be within walking distance of a student's home. Additional bus stops for Choice students will not be created. It is the parent's responsibility to safely transport the student to the nearest bus stop or school regardless of where the student resides. Check the existing stops using the “Find My Bus Stop” link on the school district website: https://transintranet.palmbeachschools.org/findmybusstop.aspx. Bus stops are subject to change.

Choice Programs Application School Year 2020-2021

Student Name

Page 2 of 9

Apply online at www.mypbchoiceapp.com

https://www.palmbeachschools.org/choiceprograms/

https://www2.palmbeachschools.org/formssearch/pdf/2418.pdf

https://www2.palmbeachschools.org/formssearch/pdf/2418.pdf

https://transintranet.palmbeachschools.org/findmybusstop.aspx

https://transintranet.palmbeachschools.org/findmybusstop.aspx

http://www.mypbchoiceapp.com


Pre-K & ELEMENTARY SCHOOLS 2020-2021 Student Name

# PROGRAM SCHOOL LOCATION

Biomedical and Veterinary Technology Acreage Pines Loxahatchee

Health and Wellness Allamanda Palm Beach Gardens

Technology Banyan Creek Delray Beach

Technology Boca Raton Boca Raton

Spanish Dual Language Cholee Lake Greenacres

Science, Technology, Engineering, Arts, and Math (STEAM) Citrus Cove Boynton Beach

Science, Technology, Engineering, and Math (STEM) Crosspointe Boynton Beach

Science, Technology, Engineering, and Math (STEM) Cypress Trails Royal Palm Beach

International Baccalaureate Primary Years Programme Dr. Mary McLeod Bethune Riviera Beach

Environmental Science and Field Research D.D. Eisenhower Palm Beach Gardens

Science, Technology, Engineering, and Math (STEM) Equestrian Trails Wellington

International Baccalaureate Primary Years Programme Forest Park Boynton Beach

Environmental and Animal Science Frontier Loxahatchee

E3-Energy, Environment, and Engineering Galaxy Boynton Beach

Arts (Visual, Performing, and Communications) Glade View Belle Glade

Technology Golden Grove West Palm Beach

Spanish Dual Language Gove Belle Glade

Biomedical and Veterinary Technology Grassy Waters West Palm Beach

International Baccalaureate Primary Years Programme Grove Park Palm Beach Gardens

Cambridge Academy HL Johnson Royal Palm Beach

Science, Technology, Engineering, Arts, and Math (STEAM)

Spanish Dual Language Hagen Road Boynton Beach

Science, Technology, Engineering, Arts, and Math (STEAM) Hidden Oaks K-8 Lake Worth

Science, Technology, Engineering, Arts, and Math (STEAM) Loxahatchee Loxahatchee

Science, Technology, Engineering, and Math (STEM) Meadow Park West Palm Beach

International Baccalaureate Primary Years Programme Morikami Park Delray Beach

International Spanish Academy (ISA) New Horizons Wellington

Spanish Dual Language North Grade Lake Worth

Montessori (Pre-K3, Pre-K4, K-5) Northboro West Palm Beach

International Baccalaureate Primary Years Programme Pahokee Pahokee

Science, Technology, Engineering, Arts, and Math (STEAM) Palm Beach Gardens Palm Beach Gardens

Orchestral Strings Palm Beach Public Palm Beach

International Baccalaureate Primary Years Programme Palmetto West Palm Beach

Science (Environmental), Technology, Engineering, and Math Pine Jog West Palm Beach

Spanish Dual Language Plumosa School of the Arts (SOA) Delray Beach

Arts (Visual, Performing, and Communications)

Science, Technology, Engineering, and Math (STEM) Poinciana Boynton Beach

Math, Science, and Technology Roosevelt West Palm Beach

Montessori (Pre-K3, Pre-K4, K-5) S.D. Spady Delray Beach

Science, Technology, Engineering, Arts, and Math (STEAM) Starlight Cove Lantana

Children's Orchestral and Performing Arts Project (COPA) The Conservatory School @ North Palm Beach North Palm Beach

Arts (Visual, Performing, and Communications) U.B. Kinsey/Palmview SOA West Palm Beach

Digital Citizenship Village Academy Delray Beach

Small School Continuum

Arts (Visual, Performing, and Communications) Wellington Wellington

International Baccalaureate Primary Years Programme Westward West Palm Beach

Page 3 of 9


MIDDLE SCHOOLS 2020-2021 Student Name

# PROGRAM SCHOOL LOCATIONCommunication Arts Bak Middle School of the Arts West Palm Beach

Dance

Music - Band Instrument:

Music - Keyboard/Piano

Music - Orchestral Strings Instrument:

Music - Vocal

Theatre

Visual Arts

Pre-Biotechnology Bear Lakes West Palm Beach

Pre-Medical Sciences Boca Raton Boca Raton

International Baccalaureate Middle Years Programme Carver Delray Beach

Pre-Information Technology

Pre-Information Technology Christa McAuliffe Boynton Beach

Digital Graphic Design Congress Boynton Beach

Digital Video Design

Pre-Engineering

Pre-Medical Sciences

Science, Technology, Engineering, Arts, and Math (STEAM)

International Baccalaureate Middle Years Programme Conniston West Palm Beach

Spanish Dual Language

Multimedia, Music, and Communications Crestwood Royal Palm Beach

Pre-Business/IT

Pre-Engineering

High Technology Don Estridge High Tech Middle Boca Raton

Pre-Engineering (Gateway to Technology) Eagles Landing Boca Raton

Pre-Information Technology Emerald Cove Wellington

International Baccalaureate Middle Years Programme H.L. Watkins Palm Beach Gardens

Math, Science, and Robotics


Science, Technology, Engineering, Arts, and Math (STEAM) Hidden Oaks K-8 Lake Worth

Pre-Business/IT Independence Jupiter

Pre-Law

Pre-Teacher Education

Pre-Culinary Arts Jeaga West Palm Beach

Pre-Law

International Baccalaureate Middle Years Programme John F. Kennedy Riviera Beach

Pre-Culinary Arts


Multimedia, Music, and Communications Jupiter Jupiter

Pre-Culinary Arts

Pre-Engineering (Gateway to Technology)


Pre-Information Technology L.C. Swain Greenacres

Pre-Law



Pre-Medical Sciences Lake Shore Belle Glade

Page 4 of 9


MIDDLE SCHOOLS 2020-2021 Student Name

# PROGRAM SCHOOL LOCATIONBiomedical Sciences (FAU College of Medicine) Lake Worth Lake Worth

Pre-Engineering (Gateway to Technology)

Band Lantana Lantana

Dance



Performing Arts - Select only one preferred area of study below: Loggers' Run Boca Raton

Dance

Music - Band

Music - Vocal

Theatre - Acting

Theatre - Musical Pre-Law


Global Language Academy North Grade (Grades 6-8) Lake Worth

International Spanish Academy (ISA) Okeeheelee Greenacres

Biomedical Health Informatics Omni Boca Raton

Multimedia & Television Production Osceola Creek Loxahatchee

Pre-Veterinary

International Baccalaureate Middle Years Programme Pahokee Pahokee


Communications Arts Palm Springs West Palm Beach

Dance

Music - Band

Music - Orchestral Strings

Music - Vocal


Theatre

Visual Arts

Pre-Engineering (Gateway to Technology) Polo Park Wellington


Biomedical Sciences (FAU College of Medicine) Roosevelt West Palm Beach

Environmental Science / GIS

Leadership Academy for Young Men

Pre-Engineering


Technology

Music - Band Instrument: The Conservatory School @ North Palm Beach North Palm Beach

Music - Orchestral Strings Instrument:

Pre-Culinary Arts Tradewinds Greenacres


Pre-Information Technology Verde (Grade 6 only) Boca Raton

Pre-Information Technology Village Academy Delray Beach


Page 5 of 9

PBSD 1537 (Rev. 10/30/2019) ORIGINAL - Department of Choice Programs and School Choice Page 6 of 9

Student NameMIDDLE SCHOOLS 2020-2021# PROGRAM SCHOOL LOCATION

Literary and Fine Arts - Instrumental Watson B. Duncan Palm Beach Gardens

Literary and Fine Arts - Theatre

Literary and Fine Arts - Visual

Literary and Fine Arts - Vocal

Literary and Fine Arts - Writing & Literature

Pre-Finance

Fine Arts Wellington Landings Wellington


Mechatronics West Technical Education Center (Grade 8 only) Belle Glade

Graphic Arts Western Pines Royal Palm Beach



Cambridge Academy Woodlands Lake Worth

Pre-Culinary Arts



# PROGRAM SCHOOL LOCATION

Communication Arts A.W. Dreyfoos Jr. School of the Arts West Palm Beach

Dance

Digital Media


Music - Keyboard/Piano

Music - Strings Instrument:

Music - Vocal

Theatre - Select only one preferred area of study below:

_____ Acting _____Musical _____Technical

Visual Arts

International Baccalaureate Atlantic Delray Beach

International Baccalaureate Medical Sciences

Navy JROTC Boca Raton Boca Raton

Aerospace Science (BASA) Boynton Beach Boynton Beach

Dance

Digital Media

Information Technology

Marine Corps JROTC

Medical Sciences - Pre-Medicine


Music - Vocal

Theatre

Visual Arts

Army JROTC Forest Hill West Palm Beach

Engineering and Technology (PLTW)

Environmental Science and Field Research


International Baccalaureate Diploma Programme

Tourism, Hospitality, and Resort Management

Criminal Justice Glades Central Belle Glade

Engineering and Technology


Computer Technology John I Leonard Greenacres

International Spanish Academy (ISA)

Engineering and Technology (PLTW) Jupiter Jupiter

Environmental Science and Field Research


3DE Business Management and Analysis Lake Worth Lake Worth

Air Force JROTC

Biomedical Sciences

Criminal Justice

Culinary Arts

Drafting and Design

Early Childhood Teacher Education


HIGH SCHOOLS 2020-2021 Student Name

Page 7 of 9


PROGRAM SCHOOL LOCATION#Early Childhood Teacher Education Olympic Heights Boca Raton


Finance

Marine Corps JROTC


Air Force JROTC Pahokee Pahokee


International Baccalaureate

Culinary Arts Palm Beach Central Wellington


Information Technology - Select only one preferred area of study below:

_____ Cybersecurity _____ Web and Digital Design

Culinary Arts Palm Beach Gardens Palm Beach Gardens

Global Business and Entrepreneurship


Sports Management and Recreation

Television & Film Production Technology


Biotechnology Palm Beach Lakes West Palm Beach

Center for Pre-Law/Law Related Careers


Marine Corps JROTC


Auto Collision Repair and Refinishing Park Vista Lake Worth

Automotive Service Technology

Air Conditioning, Refrigeration, and Heating Technology Royal Palm Beach Royal Palm Beach

Global Business



Navy JROTC

Science, Technology, Engineering and Mathematics (STEM)

Band/Music Industry Santaluces Lantana

Culinary Arts


Visual Arts (Digital Media and Photography)

Biotechnology Seminole Ridge Loxahatchee

Construction Television and Film Production Technology

American History and Law Spanish River Boca Raton

Biotechnology

Entrepreneurship

Computer Science Suncoast Riviera Beach

Innovative Interactive Technology


Mathematics, Science, and Engineering


Page 8 of 9


# PROGRAM SCHOOL LOCATIONInformation Technology/GIS Village Academy Delray Beach


Equine/Pre-Veterinary Wellington WellingtonFine Arts

Fire Science

Marketing

Computer Science West Boca Raton Boca Raton

Culinary Arts

Drafting and Design - Select only one preferred area of study below:

_____ Architecture and Engineering _____ Communication Technology

Medical Sciences - Pre-MedicinePerforming Arts - Select only one preferred area of study below:

_____ Music - Band Instrument:

_____ Music - Vocal

_____ Theatre - Acting

_____ Theatre - Musical

Construction West Technical Education Center Belle Glade

Mechatronics

Early Childhood Teacher Education William T. Dwyer Palm Beach Gardens

Finance



Page 9 of 9

Documents

CHECK ONE ONLY Elementary Middle High Schoolthe school selected as Choice #1 and will be attending for the 2020-2021 school year. Sibling Name Date of Birth The applicant's sibling(s)