JCTS FALL Student Application - 2022
This form will be used by the intake committee to track applicants who are interested in attending JCTS in the Fall. Please fill out all areas and proceed to email the following documents to advisor@jctsmail.com in order to be considered: School Counselor Referral Form, Transcript, Copy of IEP if applicable, School Immunization Record, Attendance Report, & Photo ID. Attendance of a in-person open house is suggested (vaccination required). Dates are September 29th, October - 6th, 13th, 20th, 27th, from 3:30pm-4:30pm.  An interview will be scheduled afterwards you have submitted all documents. Thank you!
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Student Name *
Who is filling out this form on behalf of the student? *
Parent/Guardian Name *
Student Phone Number (or best number to reach you) *
Student Birthday *
MM
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DD
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YYYY
Parent/Guardian Phone Number (best phone number to reach besides student cell phone) *
Parent/Guardian Email Address (if applicable) *
Guardian's Preferred Language *
Current Home Address *
Who does the student reside with? *
Current High School student is attending (if discharged, use last HS student attended) *
Guidance Counselor's Name (if applicable) *
Guidance Counselor's Phone Name (if applicable) *
Does the student have an IEP? (Interview will be scheduled with a SPED lead to better service the student) *
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