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Jay Virtual School Application 2020-2021
"Education is the most powerful weapon which you can use to change the world." -Nelson Mandela
Email address *
First and Last Name of Student *
Grade for 2020-2021 School Year *
Student Cell Phone *
Student Email *
Physical Address *
Are you 18 or over? *
Did you attend Jay Schools in the 2019-2020 School Year? *
Parent/Guardian's Name *
Parent/Guardian's Cell Phone *
Parent/Guardian's Email *
What is the best way to contact you? *
What is the best way to contact your Parent/Guardian? *
Are you on an Individualized Education Plan (IEP)? *
If yes, who is your teacher of record?
Are you on a 504? *
If yes, for what health condition?
Do you currently live within Jay School district boundaries? *
Do you have internet access at home? *
Are you behind in credits? *
Have you previously been enrolled in online learning outside of Jay Public Schools? If yes, where? *
Are you wanting to complete all of your coursework online or only a portion? *
If only certain classes, please specify the courses you are wanting to take through JVS. *
Why are you wanting to attend JVS? Be as specific as possible. *
Is there anything you feel the committee should know about you or your circumstances before your interview? *
Additional Questions or Concerns?
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