7-12 JIA Junior and Senior High 2019-20 Application
The student and parent/guardian must answer the following questions together, since some questions requirement input from both perspectives. This survey is for informational purposes only and will not be scored. Answer the questions honestly to determine if online learning is for you.
Student First Name
Please enter the student's first name.
Student Last Name
Please enter the student's last name.
What grade are you applying for 2019-20 School Year?
Please enter the parent/guardian's first and last name.
Parent/Guardian Phone Number
Do you have internet access at your home?
If you are entering 10th-12th grade, please review credit requirements. Do you have the credits required to apply? (10th grade-6 credits, 11th grade-12 credits, 12th grade-18 credits)
I am unsure of how many credits I have earned.
I am applying for 7-9th grade.
Select the statement that best describes your technological competency.
I feel comfortable using technology. I am able to work through almost all problems and issues I face when using new technology.
I use technologies that are familar to me. I rarely attempt figure out how to utilize new technologies by myself.
I avoid utilizing technology.
Reading Comprehension and Ability
Online courses require you to read more than a typical face-to-face course since directions, lessons, and assignments are given through text. Evaluate your reading skills.
I am a strong reader and have strong comprehension skills.
I am an adequate reader, but I sometimes need to review items to comprehend them.
I am a struggling reader, and I do not enjoy reading.
To successfullylearn online, you must be self-disciplined and self-motivated. Select the statement that best describes you.
For assignments, I prefer to figure out instructions myself.
For assignments, I attempt to follow the directions, then ask for help if needed.
For assignments, I prefer to have the instructions explained to me before I figure them out myself.
Online courses require you to be a self-motivated, independent learner. You are responsible for your progress and pacing. Select the statement that best describes you.
I often get assignments done ahead of time.
I need to be reminded in order to complete assignments on time.
I put things off to the last minute and do not always complete assignments.
Parent/Guardian Support Expectations
Online learning requires at least 5 hours per day. As a parent/guardian, you must provide an optimal learning environment and daily monitoring to support student learning. The parent/guardian must be comfortable with technology to monitor progress. Please evaluate the parent/guardian learning support that you are able to provide.
As a parent/guardian, I am able to monitor progress daily and create an optimal learning environment at home. I am comfortable utilizing technology.
As a parent/guardian, I am able create an optimal learning environment at home. I am not comfortable with technology, but I am willing to learn.
As a parent/guardian, I am not able to find time to monitor progress daily and/or create an optimal learning environment at home. I am not very comfortable with technology.
Has the student ever received a suspension or expulsion from school?
The student must write a description of why he/she is interested in enrolling at JIA. Please write a minimum of one paragraph to describe why this program would be a good fit for you as a learner. Please include any background information you feel necessary.
Page 1 of 3
Never submit passwords through Google Forms.
This form was created inside of JPS.
Terms of Service