School District of Jefferson Prospective Students
If you have more than one student you wish to enroll into the School District of Jefferson you must complete this survey separately for each student.
Student First Name
Your answer
Student Last Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Please indicate the grade level the student will be entering for the 16-17 school year.
Parent/ Guardian Name
Your answer
Parent/ Guardian Address
Your answer
Parent/ Guardian E-mail address
Your answer
Parent/ Guardian Phone
Your answer
Parent/ Guardian Alternate Phone (optional)
Your answer
Are you outside the school district of Jefferson and Open Enrolling here?
Please see our website for more information about Open Enrollment:
Which school district are you transferring from?
Your answer
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