JACKSON COUNTY SCHOOL DISTRICT
SCHOOL REASSIGNMENT APPLICATION (Each student must apply each year. A separate application is required for each student.)
PLEASE COMPLETE THE ENTIRE FORM AND EMAIL OR FAX THE CONTRACT PAGE TO THE DISTRICT OFFICE
Attention: Ashley Barber schoolofchoice@jcsb.org or fax to (850) 482-1342

Out-of-Zone applications must be submitted by March 31st. See FS 1002.31 for priority status or see www.jcsb.org for more information.

Was your child granted an Out of Zone Reassignment last school year for the same school you are requesting? *
Student's First Name: *
Your answer
Student's Middle Name: *
Your answer
Student's Last Name *
Your answer
Student Date of Birth: *
MM
/
DD
/
YYYY
Sex: *
Ethnicity: *
School requested: *
Grade Level for requested year (2018-2019): *
Which school is your student currently zoned for? *
If you chose "other" on the above questions, please list the out-of-county school your student is zoned for here. (If your student is an in-county student please put N/A for this required question.) *
Your answer
Which county is your student currently zoned for? (If your student is an in-county student please put N/A for this required question.) *
Your answer
What is your physical address? *
Your answer
City/State/Zip: *
Your answer
Are you requesting an Out of Zone Reassignment for a sibling? If yes, please print the name of each sibling below:
(A separate application is required for each child requested. This information will be used to assist with placing siblings.)
Sibling #1
Your answer
Sibling #2
Your answer
Sibling #3
Your answer
Sibling #4
Your answer
Parent/Guardian Name: *
Your answer
Parent/Guardian Mailing Address: (if different from above)
Your answer
City/State/Zip:
Your answer
Home Number: *
Your answer
Work Number: *
Your answer
Cell Number: *
Your answer
Parent Email: *
Your answer
Statements:
The application is not complete until the contract is also received via email (schoolofchoice.jcsb@jcsb.org) or fax to (850-482-1342). *
Required
Right click on the image below to print or follow the link at www.jcsb.org to print the Reassignment Contract.
Reassignment Application
APPLICATIONS WILL BE PROCESSED IN THE ORDER IN WHICH THEY ARE RECEIVED. A LOTTERY WILL BY INSTITUTED IF A SCHOOL NEARS 90% CAPACITY BASED ON STUDENT REQUESTS.
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