2018-19 JATC Online Application (Jordan School District Students Only)
This application is designated for Jordan School District students only. This application is only for JATC application-based programs. Programs not listed on this application are available in Arena Scheduling and this application cannot be used for those programs. Priority consideration is given to all applicants who complete an application by February 28, 2018. After February 28, 2018, this becomes a wait-list application and students will only be contacted if space becomes available.
I acknowledge that I am a Jordan School District student and I am registered at a regular Jordan School District High School (applications for Valley High students and Out-of-District students are available at www.jordantech.org). *
First Name *
Your answer
Last Name *
Your answer
Jordan School District Student Number *
Your answer
Grade (During 2018-19 School Year) *
Gender *
Birthdate *
MM
/
DD
/
YYYY
Which Jordan School District High School do you attend? (This is not a valid application form for Valley High or Out-of-District students--go to www.jordantech.org for these applications). *
Home Phone
Your answer
Home Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Father's First & Last Name (or Guardian)
Your answer
Father's Work # (or Guardian)
Your answer
Father's Cell # (or Guardian)
Your answer
Mother's First & Last Name (or Guardian)
Your answer
Mother's Work # (or Guardian)
Your answer
Mother's Cell # (or Guardian)
Your answer
Student's Cell #
Your answer
Student Lives With *
Your answer
Student E-Mail *
Your answer
Parent E-Mail *
Your answer
Which JATC program are you applying for? *
Do you have a second choice program? *
Which session are you applying for (AM or PM)? *
If you are applying for a semester-long program (EMT, Nurse Assistant, Occupational Therapy or Physical Therapy), which semester do you prefer?
Agreement *
Required
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