2018-19 JATC Online Application (Valley High Students Only)
This application is designated for Valley High School students only. Regular Jordan School District students and other out-of-district students cannot use this application. Please see www.jordantech.org for other applications.
First Name *
Your answer
Last Name *
Your answer
Grade (During 2018-19 School Year) *
Gender *
Birthdate *
MM
/
DD
/
YYYY
Are you a Valley High Student? *
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)? *
Agreement *
Required
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